Organization Active NPI

The Smile Factory of the Tiempo de Los Ninos

  • Voluntary or Charitable Agency
  • Palm Springs, CA
National Provider Identifier
1023290822
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
THE SMILE FACTORY OF THE TIEMPO DE LOS NINOS
Practice address
1140 N Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone
(760) 318-2465
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Sharon Kay Stevens
Title
Executive Director
Phone
(760) 318-2465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1140 N Indian Canyon Dr
Palm Springs, CA 92262-4872

Mailing address

100 S Sunrise Way
A-409
Palm Springs, CA 92262-6778
Phone (760) 318-2465

Other identifiers 1

IdentifierTypeStateIssuer
G98491-01OtherCADELTA DENTAL

Other names 1

  • The Smile Factory for the Children of the Desert Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Smile Factory for the Children of the Desert2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 S Sunrise Way
#A409
Palm Springs, CA 92262

1140 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 318-2465

Practitioners & affiliated clinicians

Practitioners 1

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": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1023290822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S SUNRISE WAY",
            "address_2": "A-409",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626778",
            "telephone_number": "760-318-2465",
            "fax_number": "760-406-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624872",
            "telephone_number": "760-318-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILE FACTORY OF THE TIEMPO DE LOS NINOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-318-2465"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "G98491-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Factory for the Children of the Desert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.