Organization Active NPI

Smile Savers Orthodo

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bronx, NY
National Provider Identifier
1003168295
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
NY052416 Issued in NY
Legal business name
SMILE SAVERS ORTHODO
Practice address
2100 Bartow Ave
218
Bronx, NY 10475-4614
Phone
(718) 708-6323
NPI assigned
Oct 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Dr. Efstathios Giannoutsos
Title
Orthodontist
Phone
(917) 518-9128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X NY052416 NY Primary

Addresses

Primary practice location

2100 Bartow Ave
218
Bronx, NY 10475-4614

Mailing address

2100 Bartow Ave
218
Bronx, NY 10475-4614
Phone (718) 708-6323

National Provider Directory

National Provider Directory

Locations

2100 Bartow Ave
#218
Bronx, NY 10475
Phone (718) 708-6323

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1003168295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BARTOW AVE",
            "address_2": "218",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754614",
            "telephone_number": "718-708-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BARTOW AVE",
            "address_2": "218",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754614",
            "telephone_number": "718-708-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SAVERS ORTHODO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "GIANNOUTSOS",
        "authorized_official_first_name": "EFSTATHIOS",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "917-518-9128",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "NY052416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.