Moniqua Ann Smiley, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2792 Issued in OK

Practice address

USA Dental Health Activity
652 Hamilton Rd
Fort Sill, OK 73501

Phone

(580) 442-3905

NPI assigned

Jul 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1699337931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USA DENTAL HEALTH ACTIVITY",
            "address_2": "652 HAMILTON RD",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "73501",
            "telephone_number": "580-442-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA DENTAL HEALTH ACTIVITY",
            "address_2": "652 HAMILTON RD",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "73501",
            "telephone_number": "580-442-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "MONIQUA",
        "middle_name": "ANN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OK",
            "license": "2792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Ann Shaw, LCSW
• Kathleen Jean Shepard, NP
• Mark Eden Sherman, LCSW
• Tiffany Simmons, DMD
• Mark Sistoso
• Jamika Alise Smith, RD
• Wilma Jean Smith, RN, COHN-S
• Daryl Spencer, DDS
• Shannon Marie Stangl, PA-C
• Mike Preston Stevens, O.D.

• Dental Hygienist in Fort Sill, OK
• Providers in Fort Sill, OK by specialty
• Dental Hygienist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.