NPIMap

Organization Active NPI

DRS. Smith & Ivers

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Memphis, TN
National Provider Identifier
1487339198
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
DRS. SMITH & IVERS
Practice address
766 S White Station Rd Ste 1
Memphis, TN 38117-4579
Phone
(901) 685-8090
Fax
(901) 684-1662
NPI assigned
Jun 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Jenni Otten
Title
Practice Manager
Phone
(901) 685-8090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

766 S White Station Rd Ste 1
Memphis, TN 38117-4579

Mailing address

766 S White Station Rd Ste 1
Memphis, TN 38117-4579
Phone (901) 685-8090

Other names 1

  • Drs. Smith & Ivers Doing business as

National Provider Directory

National Provider Directory

Locations

766 S White Station Rd
Ste 1
Memphis, TN 38117
Phone (901) 685-8090

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1487339198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 S WHITE STATION RD STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174579",
            "telephone_number": "901-685-8090",
            "fax_number": "901-684-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 S WHITE STATION RD STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174579",
            "telephone_number": "901-685-8090",
            "fax_number": "901-684-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. SMITH & IVERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "OTTEN",
        "authorized_official_first_name": "JENNI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "901-685-8090"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Smith & Ivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 20, 2023; 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.