Organization Active NPI

Hellosmile Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Corona, NY
National Provider Identifier
1023417029
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0571241 Issued in NY
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

Updated by the provider on Aug 15, 2014

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
03800364MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.