Superior Smiles of Memphis, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS7858 Issued in TN

Legal business name

SUPERIOR SMILES OF MEMPHIS, LLC

Practice address

4205 Hacks Cross Rd
Suite 118
Memphis, TN 38125-3198

Phone

(901) 737-8714

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Derrick Dishun Payne, DDS

Title

Partner Owner

Phone

(901) 737-8714

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherrye Denese Cosby, DDS

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1962520924
  NPD

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1992828370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 HACKS CROSS RD",
            "address_2": "SUITE 118",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 HACKS CROSS RD",
            "address_2": "SUITE 118",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253198",
            "telephone_number": "901-737-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR SMILES OF MEMPHIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "DISHUN",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "901-737-8714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS7858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Kathleen Superdock
• Superior Health Chiropractic PLLC
• Superior Home Care LLC
• Superior Home Care Services Inc
• Superior Home Health & Wellness
• Superiorcare Care Homes
• Supplemental Specialists
• Supplies Etc
• Support Solutions of Arkansas
• Support Solutions of Tennessee

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, 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 Jul 24, 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.