Organization Active NPI

Smith Wilson & Associates, PC

  • General Practice Dentistry
  • Brentwood, TN
National Provider Identifier
1396953063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS4693 Issued in TN
Legal business name
SMITH WILSON & ASSOCIATES, PC
Practice address
1195 Old Hickory Blvd Ste 203
Brentwood, TN 37027-4239
Phone
(615) 371-9531
Fax
(615) 371-9845
NPI assigned
May 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Beth Wilson, D.D.S.NPI 1740303981
Title
President
Phone
(615) 371-9531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS4693 TN Primary

Addresses

Primary practice location

1195 Old Hickory Blvd Ste 203
Brentwood, TN 37027-4239

Mailing address

1195 Old Hickory Blvd Ste 203
Brentwood, TN 37027-4239
Phone (615) 371-9531

National Provider Directory

National Provider Directory

Locations

1195 Old Hickory Blvd
Ste 203
Brentwood, TN 37027
Phone (615) 371-9500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396953063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 OLD HICKORY BLVD STE 203",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274239",
            "telephone_number": "615-371-9531",
            "fax_number": "615-371-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 OLD HICKORY BLVD STE 203",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274239",
            "telephone_number": "615-371-9531",
            "fax_number": "615-371-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH WILSON & ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-371-9531",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS4693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.