Organization Active NPI

J.Scott Smith D.D.S.,P.a.

  • Dentist
  • Searcy, AR
National Provider Identifier
1407058662
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3052 Issued in AR
Legal business name
J.SCOTT SMITH D.D.S.,P.A.
Practice address
2915 E Moore Ave
Ste.2
Searcy, AR 72143-4821
Phone
(501) 268-5815
Fax
(501) 268-5816
NPI assigned
Jun 1, 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
Dr. Jerry Scott Smith, D.D.S.NPI 1568681930
Title
President
Phone
(501) 268-5815

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3052 AR Primary

Addresses

Primary practice location

2915 E Moore Ave
Ste.2
Searcy, AR 72143-4821

Mailing address

2915 East Moore St.,Ste.2
Searcy, AR 72143-2915
Phone (501) 268-5815

National Provider Directory

National Provider Directory

Locations

2915 E Moore Ave
Ste 2
Searcy, AR 72143
Phone (501) 268-5815

Practitioners & affiliated clinicians

Practitioners 1

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": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407058662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 EAST MOORE ST.,STE.2",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721432915",
            "telephone_number": "501-268-5815",
            "fax_number": "501-268-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 E MOORE AVE",
            "address_2": "STE.2",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434821",
            "telephone_number": "501-268-5815",
            "fax_number": "501-268-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.SCOTT SMITH D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-268-5815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

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.