Mary Austin Mays Smith, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS0000009904 Issued in TN

Practice address

6565 Stage Rd Ste 2
Bartlett, TN 38134-3830

Phone

(901) 382-0280

NPI assigned

Apr 4, 2015

Last updated

Mar 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msmith44390@stjude.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Jude Children's Research Hospital, Inc.

  • Pediatrics Physician
  • Memphis, TN
  • NPI 1306335088

  Dentist

  Medicare reassignment NPD
• Brink & White Pediatric Dental Associates, PLLC

  • Pediatric Dentistry
  • Bartlett, TN
  • NPI 1629262399
  NPD (past)

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

{
    "created_epoch": "1428105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1497140636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 STAGE RD STE 2",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343830",
            "telephone_number": "901-382-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 STAGE RD STE 2",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343830",
            "telephone_number": "901-382-0280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "843 Tipton Rd, Ste D",
            "address_purpose": "LOCATION",
            "city": "Munford",
            "state": "TN",
            "postal_code": "38058",
            "country_code": "US",
            "telephone_number": "901-840-4810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2961 Canada Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "TN",
            "postal_code": "380024893",
            "country_code": "US",
            "telephone_number": "901-382-0280",
            "fax_number": "901-791-0955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY AUSTIN",
        "middle_name": "MAYS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000009904",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "DS0000009904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q037361",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Hall Smith, DC
• Elizabeth J. Smith, R.D./L.D.N.
• Eric L Smith, MD
• Lashawn Smith
• Martha M. Smith, LCSW
• SMZ Specialists, PC
• Lavalle Doyle Sorrells Jr., DDS
• Sound of Triumph Home Care Agency LLC (Bridgett R. Bradley Enterprises)
• South MD PC
• SP Healthcare Inc (Comforcare Home Care)

• Pediatric Dentistry in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.