NPIMap

Organization Active NPI

JS Pedodontics PLLC of Mobile

Doing business as Soaring Smiles Pediatric Dentistry of Mobile

  • Pediatric Dentistry
  • Mobile, AL
National Provider Identifier
1548007677
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JS PEDODONTICS PLLC OF MOBILE
Doing business as
Soaring Smiles Pediatric Dentistry of Mobile
Practice address
107 E Love Joy Loop
Mobile, AL 36610-3923
Phone
(251) 786-2011
NPI assigned
Jul 15, 2024
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Dr. Jonathan S Smith, DDSNPI 1679911606
Title
Owner
Phone
(251) 786-2011

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
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

107 E Love Joy Loop
Mobile, AL 36610-3923

Mailing address

3555 National Dr Ste 200
Plano, TX 75025-0110
Phone (251) 786-2011

Other names 1

  • Soaring Smiles Pediatric Dentistry of Mobile Doing business as

National Provider Directory

National Provider Directory

Locations

107 E Love Joy Loop
Prichard, AL 36610
Phone (251) 452-3991

Practitioners & affiliated clinicians

Practitioners 1

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": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1548007677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 NATIONAL DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250110",
            "telephone_number": "251-786-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E LOVE JOY LOOP",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366103923",
            "telephone_number": "251-786-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS PEDODONTICS PLLC OF MOBILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-786-2011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soaring Smiles Pediatric Dentistry of Mobile",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soaring Smiles Pediatric Dentistry of Mobile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.