Michael A Smith, D.D.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DS3279 Issued in TN

Practice address

6244 Poplar Ave
Memphis, TN 38119-4732

Phone

(901) 682-4682

Fax

(901) 507-4523

NPI assigned

Nov 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750469953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6244 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194732",
            "telephone_number": "901-682-4682",
            "fax_number": "901-507-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6244 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194732",
            "telephone_number": "901-682-4682",
            "fax_number": "901-507-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TN",
            "license": "DS3279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Ann Smith, NP
• Matilda Smith
• Matthew David Smith, MD
• Maurice M Smith, MD
• Melissa Smith
• Miranda Eliza Smith
• Miranda Grace Smith, OTR/L
• Molly Smith, PTA
• Nakicia Smith, LCSW
• Nastassia Smith, FNP

• Prosthodontics in Memphis, TN
• Providers in Memphis, TN by specialty
• Prosthodontics in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.