NPIMap

Organization Active NPI

Philip B Vickery Frederick L Jones Jr Dba the Smile Center

  • General Practice Dentistry
  • White House, TN
National Provider Identifier
1689194623
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PHILIP B VICKERY FREDERICK L JONES JR DBA THE SMILE CENTER
Practice address
2823 Hwy 31 W South
White House, TN 37188
Phone
(615) 672-3774
Fax
(615) 672-9630
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Dr. Frederick L Jones, DDSNPI 1225197205
Title
Owner
Phone
(615) 672-3774

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 3220 TN
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 7779 TN
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2823 Hwy 31 W South
White House, TN 37188

Mailing address

2823 Hwy 31 W South
White House, TN 37188
Phone (615) 672-3774

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1689194623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 HWY 31 W SOUTH",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "37188",
            "telephone_number": "615-672-3774",
            "fax_number": "615-672-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 HWY 31 W SOUTH",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "37188",
            "telephone_number": "615-672-3774",
            "fax_number": "615-672-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP B VICKERY FREDERICK L JONES JR DBA THE SMILE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-672-3774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "3220",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "7779",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White House, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.