NPIMap

Organization Active NPI

Timothy W Smith DMD LLC

Doing business as Dodge City Dental Care

  • Dental Clinic/Center
  • Hanceville, AL
National Provider Identifier
1508103821
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D5917-C1 Issued in AL
Legal business name
TIMOTHY W SMITH DMD LLC
Doing business as
Dodge City Dental Care
Practice address
655 Al Highway 69 S
Hanceville, AL 35077-3405
Phone
(256) 287-1250
Fax
(256) 287-1253
NPI assigned
Jan 7, 2013
Last updated
Jan 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Dr. Timothy W Smith, D.M.D.NPI 1235492190
Title
Owner
Phone
(256) 287-1250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D5917-C1 AL Primary

Addresses

Primary practice location

655 Al Highway 69 S
Hanceville, AL 35077-3405

Mailing address

655 Al Highway 69 S
Hanceville, AL 35077-3405
Phone (256) 287-1250

Other names 1

  • Dodge City Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

655 AL Highway 69 S
Hanceville, AL 35077
Phone (256) 287-1250

Practitioners & affiliated clinicians

Practitioners 3

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": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1508103821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 AL HIGHWAY 69 S",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350773405",
            "telephone_number": "256-287-1250",
            "fax_number": "256-287-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 AL HIGHWAY 69 S",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350773405",
            "telephone_number": "256-287-1250",
            "fax_number": "256-287-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY W SMITH DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-287-1250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "D5917-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dodge City Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanceville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.