Mark Steven Smith, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS 33226 Issued in TN

Practice address

7685 Wolf River Cir Ste 102
Germantown, TN 38138-1749

Phone

(901) 767-4882

NPI assigned

Feb 16, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1881967263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7685 WOLF RIVER CIR STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381749",
            "telephone_number": "901-767-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 WOLF RIVER CIR STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381749",
            "telephone_number": "901-767-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS 33226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Smith
• Kierra Smith
• Kimberly Shawn Smith, MOTR/L
• Laura Smith, ACNPC-AG
• Laura Leigh Smith, OTR
• Matthew Paul Smith, PH D
• Rachael E Smith, M.D.
• Rebecca Ann Smith, AU.D., CCC-A
• Sarah K. Smith
• Shannnon Brown Smith, PTA

• General Practice Dentistry in Germantown, TN
• Providers in Germantown, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.