Organization Active NPI

Smiles From US, PLLC

  • Pediatric Dentistry
  • Montgomery, AL
National Provider Identifier
1881861631
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5199 Issued in AL
Legal business name
SMILES FROM US, PLLC
Practice address
2600 Bell Rd
Montgomery, AL 36117-4375
Phone
(334) 358-6411
Fax
(334) 351-0033
NPI assigned
May 12, 2008
Last updated
Oct 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
John D. Stanley, DMDNPI 1558434555
Title
Dentist/Vice President
Phone
(334) 358-6411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2865 AL
Pediatric Dentistry 1223P0221X 4869 AL
Pediatric Dentistry 1223P0221X 5053 AL
Pediatric Dentistry 1223P0221X 5221 AL
Pediatric Dentistry 1223P0221X 5199 AL Primary

Addresses

Primary practice location

2600 Bell Rd
Montgomery, AL 36117-4375

Mailing address

2600 Bell Rd
Montgomery, AL 36117-4375
Phone (334) 358-6411

Other identifiers 11

IdentifierTypeStateIssuer
515-25362OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
515-19534OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
515-28152OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
770948OtherALUNITED CONCORDIA
515-25517OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
515-23249OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
510-60720OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
515-23250OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
515-23254OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
515-28153OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
009965115MedicaidAL

National Provider Directory

National Provider Directory

Locations

2600 Bell Rd
Montgomery, AL 36117
Phone (334) 277-6690

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1881861631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 BELL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174375",
            "telephone_number": "334-358-6411",
            "fax_number": "334-351-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BELL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174375",
            "telephone_number": "334-358-6411",
            "fax_number": "334-351-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES FROM US, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DENTIST/VICE PRESIDENT",
        "authorized_official_telephone_number": "334-358-6411",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "2865",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "4869",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5053",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5221",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "515-25362",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "515-19534",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "515-28152",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "770948",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "515-25517",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "515-23249",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "510-60720",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "515-23250",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "515-23254",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "515-28153",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009965115",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.