Johnson City Smiles, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOHNSON CITY SMILES, LLC

Practice address

2800 Peoples St Ste 90
Johnson City, TN 37604-4158

Phone

(423) 928-0345

Fax

(423) 926-4358

NPI assigned

May 14, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark D Damron, DMDNPI 1538315460

Title

Sole Member

Phone

(423) 928-0345

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark D Damron, DMD

  • General Practice Dentistry
  • Johnson City, TN
  • NPI 1538315460
  NPD (past) Authorized official
• Shana Lynn England, RDH

  • Dental Hygienist
  • Johnson City, TN
  • NPI 1487304085
  NPD (past)
• Kim Richardson

  • Dental Hygienist
  • Johnson City, TN
  • NPI 1811637713
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1255997359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PEOPLES ST STE 90",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044158",
            "telephone_number": "423-928-0345",
            "fax_number": "423-926-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PEOPLES ST STE 90",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044158",
            "telephone_number": "423-928-0345",
            "fax_number": "423-926-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CITY SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "DAMRON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "423-928-0345",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson City Health Property Investors, LLC
• Johnson City Medical Center
• Johnson City OB/GYN Associates
• Johnson City Oral and Maxillofacial Surgery, LLC
• Johnson City Physical Occupational Speech Outpatient Therapy, PLLC
• Johnson City Speech and Language Therapy
• Johnson City Urological Clinic, P.C.
• Johnson Hearing Technology and Communication, PLLC
• Abbey Lin Gillispie Johnson, MD
• Alexandra Nicole Johnson, DO

• General Practice Dentistry in Johnson City, TN
• Providers in Johnson City, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.