Toddrick Smith, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8676 Issued in TN

Practice address

6611 Kirby Center CV
Memphis, TN 38115-4313

Phone

(901) 363-8192

NPI assigned

Apr 10, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Vinall & Smith Pediatric Dentistry

  • Pediatric Dentistry
  • Cordova, TN
  • NPI 1760056402
  NPD Authorized official
• PDC Clinical PLLC

  • Pediatric Dentistry
  • Memphis, TN
  • NPI 1568278489
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1497928485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 KIRBY CENTER CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154313",
            "telephone_number": "901-363-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 KIRBY CENTER CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154313",
            "telephone_number": "901-363-8192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "848 Adams Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381032816",
            "country_code": "US",
            "telephone_number": "901-448-5437",
            "fax_number": "901-448-5438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033513",
            "country_code": "US",
            "telephone_number": "901-448-6240",
            "fax_number": "901-448-6249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TODDRICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "8676",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "8676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515391",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tariq Jabir Smith, BA
• Teena M Smith
• Teresa Smith, MS
• Timothy L Smith, CRNA
• Timothy Lee Smith, M.S., L.P.C.
• Tommy Maurice Smith Jr., SSC
• Tonja Medival Smith, DPH
• Tonya Lashay Smith, P.T.
• Tori Wolfe Smith, AU.D.
• Vincent D Smith, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.