Organization Active NPI

Smiles Family Dentistry

  • Dentist
  • Monticello, KY
National Provider Identifier
1669659181
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILES FAMILY DENTISTRY
Practice address
216 Cumberland Xing
Monticello, KY 42633-9000
Phone
(606) 348-3384
Fax
(606) 348-3384
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dr. Phiip A Hardin, D.M.D.
Title
Owner
Phone
(606) 348-3384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

216 Cumberland Xing
Monticello, KY 42633-9000

Mailing address

216 Cumberland Xing
Monticello, KY 42633-9000
Phone (606) 348-3384

Other identifiers 1

IdentifierTypeStateIssuer
6190102100MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Smiles Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

216 Cumberland Xing
Monticello, KY 42633
Phone (606) 348-3384

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": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1669659181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CUMBERLAND XING",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339000",
            "telephone_number": "606-348-3384",
            "fax_number": "606-348-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CUMBERLAND XING",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339000",
            "telephone_number": "606-348-3384",
            "fax_number": "606-348-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "PHIIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-348-3384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6190102100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.