NPIMap

Organization Active NPI

Tiny Town Smiles Dentistry, PC

  • Dentist
  • Clarksville, TN
National Provider Identifier
1689176471
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TINY TOWN SMILES DENTISTRY, PC
Practice address
1466 Tiny Town Rd Ste a
Clarksville, TN 37042-8292
Phone
(931) 548-0119
NPI assigned
Mar 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Authorized official

Name
Dr. Joahn T To, DDS
Title
Owner
Phone
(931) 548-0119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1466 Tiny Town Rd Ste a
Clarksville, TN 37042-8292

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8280

Other names 1

  • Tiny Town Smiles Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1466 Tiny Town Rd
Ste A
Clarksville, TN 37042
Phone (931) 548-0119

Practitioners & affiliated clinicians

Practitioners 5

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": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1689176471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8280",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 TINY TOWN RD STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370428292",
            "telephone_number": "931-548-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY TOWN SMILES DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "TO",
        "authorized_official_first_name": "JOAHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-548-0119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiny Town Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.