Active NPI
David Smith Marshall II, DDS
- Dentist
- Memphis, TN
National Provider Identifier
1871115931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11497
- Practice address
- 920 Madison Ave Ste 447
Memphis, TN 38103-3438 - Phone
- (615) 324-9694
- NPI assigned
- May 12, 2020
- Last updated
- Sep 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11497 | TN | Primary |
Addresses
Primary practice location
920 Madison Ave Ste 447
Memphis, TN 38103-3438
Mailing address
801 W Main St Ste B
Woodbury, TN 37190-1048
Phone (615) 563-2266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11497 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1871115931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W MAIN ST STE B",
"city": "WOODBURY",
"state": "TN",
"postal_code": "371901048",
"telephone_number": "615-563-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MADISON AVE STE 447",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033438",
"telephone_number": "615-324-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "DAVID",
"middle_name": "SMITH",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-12",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "11497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.