Individual provider Active NPI

Jasmine Danielle Hailey

  • Dentist
  • Memphis, TN
National Provider Identifier
1962170829
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11807 Issued in TN
Practice address
5270 Poplar Ave Ste 101
Memphis, TN 38119-3515
Phone
(901) 255-3459
NPI assigned
Sep 3, 2021
Last updated
Oct 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11807 TN Primary

Addresses

Primary practice location

5270 Poplar Ave Ste 101
Memphis, TN 38119-3515

Mailing address

557 Tucker View Dr
Cordova, TN 38018-6651
Phone (901) 679-4657

Other names 1

  • Jasmine Danielle Anderson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Dentistry of Memphis, PC CurrentSince Oct 12, 2025 Accepting new patients

Locations

5270 Poplar Ave
Ste 101
Memphis, TN 38119
Phone (901) 255-3459

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1962170829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 TUCKER VIEW DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186651",
            "telephone_number": "901-679-4657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 POPLAR AVE STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193515",
            "telephone_number": "901-255-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILEY",
        "first_name": "JASMINE",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "ANDERSON",
            "middle_name": "DANIELLE",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2025; 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.