Active NPI
Tiffany Tiana Smith, DDS
- Dentist
- Shirley, MA
National Provider Identifier
1871282293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1860061
- Practice address
- 228 Great Rd
Shirley, MA 01464-2216 - Phone
- (978) 391-6784
- NPI assigned
- May 2, 2023
- Last updated
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1860061 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
228 Great Rd
Shirley, MA 01464-2216
Mailing address
380 Harrison Ave Unit 1024
Boston, MA 02118-3771
Phone (570) 575-6898
Other practice location 1
400 Commonwealth Ave
Boston, MA 02215-2813
Phone (617) 266-8770
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 |
|---|---|---|---|
| DN1860061 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1871282293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 HARRISON AVE UNIT 1024",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183771",
"telephone_number": "570-575-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 GREAT RD",
"city": "SHIRLEY",
"state": "MA",
"postal_code": "014642216",
"telephone_number": "978-391-6784"
}
],
"practiceLocations": [
{
"address_1": "400 Commonwealth Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "022152813",
"country_code": "US",
"telephone_number": "617-266-8770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "TIFFANY",
"middle_name": "TIANA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-02",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1860061",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shirley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.