Jonathan S Smith, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

29083 Issued in TX

Practice address

720 S Leeds Ave
Mobile, AL 36612-1946

Phone

(251) 786-2011

NPI assigned

Jun 12, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• JS Pedodontics PLLC of Mobile

  • Pediatric Dentistry
  • Mobile, AL
  • NPI 1548007677
  NPD Authorized official

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1679911606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S LEEDS AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366121946",
            "telephone_number": "251-786-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S LEEDS AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366121946",
            "telephone_number": "251-786-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JONATHAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5989 C1",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "29083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Smith, PA
• Hannah Bell Smith, NP
• Janet K Smith, MS CCC SLP
• Jessica Smith
• Jeston Taylor Smith, M.D.
• Julian Smith
• Katherine Trawick Smith, CRNP
• Kayla Smith
• Keele Smith III, PT, DPT
• Kelsey B Smith, CRNP

• Pediatric Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.