Active NPI
Hellosmile Orthodontics PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Corona, NY
National Provider Identifier
1023417029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0571241
- Legal business name
- HELLOSMILE ORTHODONTICS PC
- Practice address
- 103-24 Roosevelt Ave
Corona, NY 11368 - Phone
- (718) 433-2304
- NPI assigned
- Aug 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sadi Kermani
- Title
- Orthodontist
- Phone
- (415) 336-7234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0571241 | NY | Primary |
Addresses
Primary practice location
103-24 Roosevelt Ave
Corona, NY 11368
Mailing address
93-20 Roosevelt Avenue
Suite 3D
Jackson Heights, NY 11368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03800364 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
10324 Roosevelt Ave
Corona, NY 11368
Phone (347) 571-2792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408060800000",
"number": "1023417029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93-20 ROOSEVELT AVENUE",
"address_2": "SUITE 3D",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "11368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103-24 ROOSEVELT AVE",
"city": "CORONA",
"state": "NY",
"postal_code": "11368",
"telephone_number": "718-433-2304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HELLOSMILE ORTHODONTICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-15",
"last_updated": "2014-08-15",
"status": "A",
"authorized_official_last_name": "KERMANI",
"authorized_official_first_name": "SADI",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "415-336-7234",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "0571241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03800364",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.