Tiffanie Smith, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

09211 Issued in IA

Practice address

888 Middle Rd
Bettendorf, IA 52722-4101

Phone

(563) 362-3705

NPI assigned

Jun 23, 2015

Last updated

Jun 23, 2015By the provider in NPPES

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

Enrolled in IA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iowa Dental Health Professionals, P.C.

  dba Dental Care at The Plex

  • Dentist
  • Bettendorf, IA
  • NPI 1619352010
  NPD (past)

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1760864029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224101",
            "telephone_number": "563-362-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224101",
            "telephone_number": "563-362-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIFFANIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "09211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kathleen Skafidas, ARNP
• Logan Skulte
• Slavens Family Chiropractic, PC
• Sleep Innovations PLLC
• Brenda Smith
• Timothy James Smith, DDS
• Danielle N Smyser, R.PH.
• Shawn Snider, NP
• Jesell Souhrada, MS, RDN, LDN, NDTR
• Spartans Hub LLC

• Dentist in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.