NPIMap

Organization Active NPI

Smile Designs by Charlotte Gerry

  • Dentist
  • Lake City, FL
National Provider Identifier
1932308145
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14233 Issued in FL
Legal business name
SMILE DESIGNS BY CHARLOTTE GERRY
Practice address
857 SW Main Blvd
Suite 105
Lake City, FL 32024
Phone
(386) 755-7010
Fax
(386) 755-7024
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charlotte Gerry, DMD
Title
President
Phone
(386) 755-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN14233 FL Primary

Addresses

Primary practice location

857 SW Main Blvd
Suite 105
Lake City, FL 32024

Mailing address

857 SW Main Blvd
Suite 105
Lake City, FL 32024
Phone (386) 755-7010

National Provider Directory

National Provider Directory
Tax ID family
Smile Designs by Charlotte Gerry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

857 SW Main Blvd
Ste 105
Lake City, FL 32025
Phone (386) 755-7010

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932308145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 SW MAIN BLVD",
            "address_2": "SUITE 105",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32024",
            "telephone_number": "386-755-7010",
            "fax_number": "386-755-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 SW MAIN BLVD",
            "address_2": "SUITE 105",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32024",
            "telephone_number": "386-755-7010",
            "fax_number": "386-755-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DESIGNS BY CHARLOTTE GERRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERRY",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-755-7010",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.