Jessica Smith DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JESSICA SMITH DDS, INC.

Practice address

886 Boysen Ave
San Luis Obispo, CA 93405-1311

Phone

(805) 543-4770

NPI assigned

Jun 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Carter Smith, DDSNPI 1902115892

Title

Owner

Phone

(805) 471-1211

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica C Smith, DDS

  • Dentist
  • San Luis Obispo, CA
  • NPI 1902115892
  NPD Authorized official
• Stephen A Quist, DDS

  • Dentist
  • San Luis Obispo, CA
  • NPI 1639231061
  NPD (past)

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

{
    "created_epoch": "1529107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1871087585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 BOYSEN AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 BOYSEN AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051311",
            "telephone_number": "805-543-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA SMITH DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-471-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griffith Jennings
• Shannon Rive Jensen-Best, LMFT
• Allison Hope Jensen
• Lillian Elaine Jensen, MFTI, PCCI
• Jessica Carter Smith DDS PC
• Sundarampillai Jeyanandarajan, M.D.
• Alexis Jimenez
• Eric Jimenez
• Lorena Jimenez
• Steven B Jobst, M.D.

• Dental Clinic/Center in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.