Organization Active NPI

Smile Factory

  • Dental Hygienist
  • Charlotte, NC
National Provider Identifier
1881338127
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
SMILE FACTORY
Practice address
11344 Deer Chase LN
Charlotte, NC 28262-9167
Phone
(910) 389-6717
NPI assigned
Apr 22, 2022
Last updated
Apr 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Briana Taylor, RDH
Title
Owner
Phone
(910) 389-6717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

11344 Deer Chase LN
Charlotte, NC 28262-9167

Mailing address

11344 Deer Chase LN
Charlotte, NC 28262-9167
Phone (910) 389-6717

Other identifiers 1

IdentifierTypeStateIssuer
000036459775MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thesmilefactory@onmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1881338127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11344 DEER CHASE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629167",
            "telephone_number": "910-389-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11344 DEER CHASE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629167",
            "telephone_number": "910-389-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE FACTORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-389-6717",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000036459775",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thesmilefactory@onmail.com",
            "affiliation": "N",
            "address_1": "11344 Deer Chase Ln",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282629167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.