Organization Active NPI

Donelson Smiles Dentistry, PC

Doing business as Donelson Smiles Dentistry

  • Dentist
  • Nashville, TN
National Provider Identifier
1912387242
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DONELSON SMILES DENTISTRY, PC
Doing business as
Donelson Smiles Dentistry
Practice address
2340 Lebanon Pike
Nashville, TN 37214
Phone
(615) 830-5008
Fax
(615) 830-5383
NPI assigned
Jun 2, 2015
Last updated
Jun 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Dr. Tanisha A Jackson, DDS
Title
Owner Doctor
Phone
(615) 830-5008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

2340 Lebanon Pike
Nashville, TN 37214

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Donelson Smiles Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2340 Lebanon Pike
Nashville, TN 37214
Phone (615) 830-5008

Practitioners & affiliated clinicians

Practitioners 6

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": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1912387242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 LEBANON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37214",
            "telephone_number": "615-830-5008",
            "fax_number": "615-830-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONELSON SMILES DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "615-830-5008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donelson Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.