Ismile Dental Care PC

Primary specialty

DentistTaxonomy code 122300000X

License

22D102631400 Issued in NJ

Legal business name

ISMILE DENTAL CARE PC

Practice address

1050 Galloping Hill Rd
Union, NJ 07083-7983

Phone

(908) 810-1234

NPI assigned

Sep 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mahnaz Baghaei, DMD

Title

Owner

Phone

(908) 810-1234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1003364555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 GALLOPING HILL RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837983",
            "telephone_number": "908-810-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 GALLOPING HILL RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837983",
            "telephone_number": "908-810-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMILE DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "BAGHAEI",
        "authorized_official_first_name": "MAHNAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-810-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102631400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Union, NJ
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.