DR. J RANDALL SMITH (NPI# 1114917010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114917010 |
| Entity Type | Individual |
| Full Name | DR. J RANDALL SMITH |
| Credential | D.D.S.,M.S. |
| Practice Address |
205 S Jackson St Tullahoma TN 37388-4426 |
| Practice Telephone | 9314550146 |
| Practice Fax Number | 9313933863 |
| Mailing Telephone | 9314550146 |
| Mailing Fax Number | 9313933863 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
179 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA | 844210 | 01 | |
| TN | BLUE CROSS BLUE SHIELD | 0160873 | 01 |
| DORAL DENTAL | 0006684 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275581704 | J D Smith | Podiatrist | 202 Rosa Ln, Florence, AL 35630-1769 | 2006-05-05 |
| 1891153060 | J B. Smith | Social Worker | 18 Kings Hwy, Suite 202, Middletown, NJ 07748-2509 | 2016-02-03 |
| 1285959213 | J Nathan Smith | Radiology | 10567 Sawmill Pkwy, Suite 100, Powell, OH 43065-6672 | 2010-04-01 |
| 1780804765 | J Colby Smith | Dentist | 10418 Lake Creek Pkwy, Austin, TX 78750-1226 | 2007-05-01 |
| 1770677577 | J Douglas Smith | Emergency Medicine | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2006-10-03 |
| 1780695007 | J Patrick Smith | Orthopaedic Surgery | 775 Prairie Center Dr, Suite 250, Eden Prairie, MN 55344-7314 | 2006-08-11 |
| 1194782003 | J Stanley Smith | Surgery | 500 University Dr, Hershey, PA 17033-2360 | 2006-04-26 |
| 1043206519 | J Robert Smith | Internal Medicine | 2200 E Genesee St, Suite A, Syracuse, NY 13210-2298 | 2005-09-21 |
| 1952302168 | J Sidney Smith | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503 | 2005-08-10 |
| Street Address |
205 S JACKSON ST |
| City | TULLAHOMA |
| State | TN |
| Zip Code | 37388-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538158548 | Richard D. Fewell | Dentist | 205 S Jackson St, Tullahoma, TN 37388-4426 | 2005-10-21 |
| 1619169034 | Christopher Fogarty | Dentist | 205 S Jackson St, Tullahoma, TN 37388-4426 | 2007-08-10 |
| 1427047430 | Drs. Smith & Fewell, D.d.s.,m.s.,pc | Dentist | 205 S Jackson St, Tullahoma, TN 37388-4426 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183628 | Angela Michelle Sowers | Dietitian, Registered | 1801 North Jackson St, Tullahoma, TN 37388 | 2017-09-09 |
| 1194242669 | Haley D Stewart | Speech-Language Pathologist | Top Rehab Services, Inc, 2110 N. Jackson Street, Tullahoma, TN 37388 | 2017-08-25 |
| 1295263150 | Kelli Elaine Spencer | Nurse Practitioner | Partners for Healing, 109 West Blackwell Street, Tullahoma, TN 37388 | 2017-05-23 |
| 1932651486 | Adam Snider | Physical Therapy Assistant | 1321 Cedar Lane, Tullahoma, TN 37388 | 2016-11-01 |
| 1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1003298639 | Jeanetta Clark | Counselor | 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 | 2015-06-19 |
| 1285051698 | Ashley Mcmurtry | Physical Therapist | 2110 N. Jackson Street, Tullahoma, TN 37388 | 2014-03-24 |
| 1093150575 | Orthopedic Braces | Case Management | 206 Westside Dr, Tullahoma, TN 37388 | 2013-05-09 |
| 1427397199 | Kristina Danette Carter | Pharmacist | 104 North Jackson Street, Tullahoma, TN 37388 | 2013-01-31 |
| Find all providers in zip 37388 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538158548 | Richard D. Fewell | Dentist | 205 S Jackson St, Tullahoma, TN 37388-4426 | 2005-10-21 |
| 1619169034 | Christopher Fogarty | Dentist | 205 S Jackson St, Tullahoma, TN 37388-4426 | 2007-08-10 |
| 1427047430 | Drs. Smith & Fewell, D.d.s.,m.s.,pc | Dentist | 205 S Jackson St, Tullahoma, TN 37388-4426 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523703 | Evan James Agnetta | Dentist | 6311 Kingston Pike Ste 26w, Knoxville, TN 37919-4900 | 2020-09-18 |
| 1619595618 | Allison Jerri Williams | Dentist | 801 Sunset Dr # E5, Johnson City, TN 37604-3033 | 2020-07-07 |
| 1396369054 | John Thomas Houston Iv | Dentist | 125 Cool Springs Blvd # 140, Franklin, TN 37067-6474 | 2020-05-28 |
| 1407499957 | Kevin Michael Peterson | Dentist | 1607 Westgate Cir Ste 400, Brentwood, TN 37027-8080 | 2019-10-28 |
| 1306488622 | Cumberland Pediatric Dentistry and Orthodontics of Cool Springs, Pllc | Dentist | 1201 Liberty Pike, Suite 202-b, Franklin, TN 37067 | 2019-10-09 |
| 1285191767 | Mh Dmd of Tennessee, Pllc | Dentist | 2126 Abbott Martin Rd Ste 168, Nashville, TN 37215-2619 | 2019-02-21 |
| 1245713528 | Lucas Orthodontics Gallatin, Pllc | Dentist | 1710 Nashville Pike, Gallatin, TN 37066-3154 | 2018-09-12 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1902329097 | Carmen Allie Quirk | Dentist | 755 E Veterans Dr, Cookeville, TN 38501-5194 | 2017-07-20 |
| 1568996999 | Jefferson Twomley | Dentist | 1414 Jenkins Rd Ste 146, Chattanooga, TN 37421-3470 | 2017-04-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.