Joseph Serafin Doctora, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS7268 Issued in TN

Practice address

366 S Lowry St
Smyrna, TN 37167-3415

Phone

(615) 220-5525

Fax

(615) 220-5556

NPI assigned

Jun 30, 2005

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Oms Specialists

  • Oral and Maxillofacial Surgery (Dentist)
  • Smyrna, TN
  • NPI 1144473265
  NPD (past) Authorized official

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780681098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 S LOWRY ST",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673415",
            "telephone_number": "615-220-5525",
            "fax_number": "615-220-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 S LOWRY ST",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673415",
            "telephone_number": "615-220-5525",
            "fax_number": "615-220-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCTORA",
        "first_name": "JOSEPH",
        "middle_name": "SERAFIN",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS7268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diversicare Leasing LP (Diversicare of Smyrna)
• Diversicare of Smyrna
• Divine Timing Health Care Support, LLC
• Sarolyn Lilnelle Dixon Cohill
• Makia Dixon
• Jessica Rae Doman, FNP-BC
• Anne Bunny Donnelly Wolf, PT
• Megan Donohue, CNM
• Elizabeth Knight Doolittle, APN
• Tajada Douglas

• Oral and Maxillofacial Surgery (Dentist) in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) 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.