Organization Active NPI

Smiley Family Dentistry

  • Dentist
  • Waverly, IA
National Provider Identifier
1861895823
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS09137 Issued in IA
Legal business name
SMILEY FAMILY DENTISTRY
Practice address
108 2ND St NW
Waverly, IA 50677-2619
Phone
(217) 474-4385
NPI assigned
Oct 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Dr. Jonathan Smiley, D.M.D
Title
Dentist
Phone
(217) 474-4385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DDS09137 IA Primary

Addresses

Primary practice location

108 2ND St NW
Waverly, IA 50677-2619

Mailing address

108 2ND St NW
Waverly, IA 50677-2619

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1861895823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 2ND ST NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 2ND ST NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772619",
            "telephone_number": "217-474-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "217-474-4385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS09137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.