NPIMap

Organization Active NPI

Washington Square Dental - Melissa a. Smith, DDS, PC

Doing business as Washington Smiles Complete Health Dentistry

  • General Practice Dentistry
  • Washington, MO
National Provider Identifier
1841510260
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2004013254 Issued in MO
Legal business name
WASHINGTON SQUARE DENTAL - MELISSA A. SMITH, DDS, PC
Doing business as
Washington Smiles Complete Health Dentistry
Practice address
1111 E. Sixth Street
Washington, MO 63090
Phone
(636) 239-6328
Fax
(636) 239-5048
NPI assigned
Jun 8, 2010
Last updated
Sep 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Authorized official

Name
Dr. Melissa Ann Smith, DDSNPI 1396881611
Title
Owner
Phone
(636) 239-6328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 004013254 MO
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2004013254 MO Primary

Addresses

Primary practice location

1111 E. Sixth Street
Washington, MO 63090

Mailing address

1111 E. Sixth Street
Washington, MO 63090
Phone (636) 239-6328

Other names 1

  • Washington Smiles Complete Health Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Washington Smiles Complete Health Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1841510260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E. SIXTH STREET",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "636-239-6328",
            "fax_number": "636-239-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E. SIXTH STREET",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "636-239-6328",
            "fax_number": "636-239-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON SQUARE DENTAL - MELISSA A. SMITH, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-239-6328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "004013254",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2004013254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Smiles Complete Health Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.