Organization Active NPI

Smartsmile Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Madison, MS
National Provider Identifier
1417287376
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3388-06 Issued in MS
Legal business name
SMARTSMILE ORTHODONTICS, PLLC
Practice address
7724 Old Canton Rd
Madison, MS 39110-9299
Phone
(601) 853-1307
Fax
(601) 853-9872
NPI assigned
Dec 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Dr. Erin Britton Montgomery, DMD, MSD
Title
Doctor
Phone
(601) 853-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3388-06 MS Primary

Addresses

Primary practice location

7724 Old Canton Rd
Madison, MS 39110-9299

Mailing address

7724 Old Canton Rd
Madison, MS 39110-9299
Phone (601) 853-1307

Other identifiers 1

IdentifierTypeStateIssuer
06455258MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1417287376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7724 OLD CANTON RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109299",
            "telephone_number": "601-853-1307",
            "fax_number": "601-853-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7724 OLD CANTON RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109299",
            "telephone_number": "601-853-1307",
            "fax_number": "601-853-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMARTSMILE ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "BRITTON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "601-853-1307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "3388-06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06455258",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.