Organization Active NPI

Smith & Myers Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Knoxville, TN
National Provider Identifier
1508202979
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8540 Issued in TN
Legal business name
SMITH & MYERS ORTHODONTICS PLLC
Practice address
5315 Fountain Rd
Suite B
Knoxville, TN 37918-3094
Phone
(865) 657-6560
NPI assigned
May 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Beau R. Myers, DDSNPI 1538331376
Title
Owner
Phone
(865) 687-6560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 8540 TN Primary

Addresses

Primary practice location

5315 Fountain Rd
Suite B
Knoxville, TN 37918-3094

Mailing address

5315 Fountain Rd
Suite B
Knoxville, TN 37918-3094
Phone (865) 657-6560

Other names 1

  • Beaur R. Myers, DDS Doing business as

National Provider Directory

National Provider Directory

Locations

5315 Fountain Rd
Ste B
Knoxville, TN 37918
Phone (865) 657-6560

Practitioners & affiliated clinicians

Practitioners 1

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": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1508202979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 FOUNTAIN RD",
            "address_2": "SUITE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379183094",
            "telephone_number": "865-657-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 FOUNTAIN RD",
            "address_2": "SUITE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379183094",
            "telephone_number": "865-657-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH & MYERS ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "BEAU",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-687-6560",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "8540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaur R. Myers, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.