NPIMap

Organization Active NPI

Smiles Oneonta

  • Pediatric Dentistry
  • Oneonta, AL
National Provider Identifier
1992972368
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5343 Issued in AL
Legal business name
SMILES ONEONTA
Practice address
27550 State Highway 75 Ste 104
Oneonta, AL 35121-3204
Phone
(205) 274-2414
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Joely Marim-Eberhardt, DMD, MSNPI 1194870121
Title
Pediatric Dentist
Phone
(205) 274-2414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 5343 AL Primary

Addresses

Primary practice location

27550 State Highway 75 Ste 104
Oneonta, AL 35121-3204

Mailing address

27550 State Highway 75 Ste 104
Oneonta, AL 35121-3204
Phone (205) 274-2414

National Provider Directory

National Provider Directory

Locations

27550 State Highway 75
Ste 104
Oneonta, AL 35121
Phone (205) 274-2414

Practitioners & affiliated clinicians

Practitioners 1

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": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1992972368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27550 STATE HIGHWAY 75 STE 104",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351213204",
            "telephone_number": "205-274-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27550 STATE HIGHWAY 75 STE 104",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351213204",
            "telephone_number": "205-274-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES ONEONTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MARIM-EBERHARDT",
        "authorized_official_first_name": "JOELY",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "205-274-2414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "5343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.