Organization Active NPI

Purfixsmile Dental Inc

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1386975860
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PURFIXSMILE DENTAL INC
Practice address
4250 Faronia Rd
Memphis, TN 38116-6527
Phone
(901) 414-0350
NPI assigned
Jan 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Dr. Philip Carter, DDS
Title
Ceo/Dentist
Phone
(901) 414-0350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4250 Faronia Rd
Memphis, TN 38116-6527

Mailing address

4250 Faronia Rd
Memphis, TN 38116-6527
Phone (901) 414-0350

Other identifiers 1

IdentifierTypeStateIssuer
5442018MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Purfixsmile Dental Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4250 Faronia Rd
Memphis, TN 38116
Phone (901) 332-9170

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1386975860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 FARONIA RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166527",
            "telephone_number": "901-414-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 FARONIA RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166527",
            "telephone_number": "901-414-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURFIXSMILE DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO/DENTIST",
        "authorized_official_telephone_number": "901-414-0350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5442018",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.