Organization Active NPI

Smile Direct Club

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Nashville, TN
National Provider Identifier
1962959395
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1692 Issued in AZ
Legal business name
SMILE DIRECT CLUB
Practice address
701 Broadway, Suite 130
Nashville, TN 37203-3944
Phone
(800) 397-6247
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Miss David Barclay Dowling, DDS PC
Title
Managing Physician
Phone
(800) 397-6247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 1692 AZ Primary

Addresses

Primary practice location

701 Broadway, Suite 130
Nashville, TN 37203-3944

Mailing address

701 Broadway, Suite 130
Nashville, TN 37203-3944
Phone (800) 397-6247

Other identifiers 1

IdentifierTypeStateIssuer
1528286119OtherNPI

National Provider Directory

National Provider Directory
Tax ID family
David Barclay Dowling DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1962959395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BROADWAY, SUITE 130",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372033944",
            "telephone_number": "800-397-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BROADWAY, SUITE 130",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372033944",
            "telephone_number": "800-397-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DIRECT CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "DOWLING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BARCLAY",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "800-397-6247",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "1692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528286119",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 1, 2016; 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.