Active NPI
Tanisha Smith
- Dental Hygienist
- Portsmouth, VA
National Provider Identifier
1255721650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 6413
- Practice address
- 620 John Paul Jones Circle
NMCP -
Portsmouth, VA 23708 - Phone
- (757) 953-7011
- NPI assigned
- Jan 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 6413 | MD | Primary |
Addresses
Primary practice location
620 John Paul Jones Circle
NMCP -
Portsmouth, VA 23708
Mailing address
620 John Paul Jones Circle
NMCP -
Portsmouth, VA 23708
Phone (757) 953-7011
Other names 1
- Tanisha Heyward
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6413 | MD | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421971200000",
"number": "1255721650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIRCLE",
"address_2": "NMCP -",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23708",
"telephone_number": "757-953-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIRCLE",
"address_2": "NMCP -",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23708",
"telephone_number": "757-953-7011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TANISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-23",
"last_updated": "2015-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MD",
"license": "6413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TANISHA",
"last_name": "HEYWARD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.