NPIMap

Organization Active NPI

Di Smiles Dental PC

  • Dental Clinic/Center
  • Syosset, NY
National Provider Identifier
1013663061
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DI SMILES DENTAL PC
Practice address
575 Underhill Blvd Ste 105
Syosset, NY 11791-3416
Phone
(516) 496-3880
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Daniel Ilyaich, DDSNPI 1851824155
Title
President
Phone
(917) 476-2772

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

575 Underhill Blvd Ste 105
Syosset, NY 11791-3416

Mailing address

575 Underhill Blvd Ste 105
Syosset, NY 11791-3416
Phone (516) 496-3880

National Provider Directory

National Provider Directory

Locations

575 Underhill Blvd
Ste 105
Syosset, NY 11791
Phone (516) 496-3880

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1013663061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 UNDERHILL BLVD STE 105",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913416",
            "telephone_number": "516-496-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 UNDERHILL BLVD STE 105",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913416",
            "telephone_number": "516-496-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DI SMILES DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "ILYAICH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-476-2772",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.