Organization Active NPI

Big Smile Dentistry Inc

Doing business as Big Smile Dentistry

  • General Practice Dentistry
  • Lake Worth, FL
National Provider Identifier
1023453321
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15799 Issued in FL
Legal business name
BIG SMILE DENTISTRY INC
Doing business as
Big Smile Dentistry
Practice address
4481 Lake Worth Rd Ste B
Lake Worth, FL 33461-3929
Phone
(561) 331-3013
NPI assigned
May 1, 2013
Last updated
May 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Ms. Dayana Yolani Calderon
Title
Office Manager
Phone
(561) 331-3013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN15799 FL Primary

Addresses

Primary practice location

4481 Lake Worth Rd Ste B
Lake Worth, FL 33461-3929

Mailing address

9880 Via Bernini
Lake Worth, FL 33467-6939
Phone (561) 331-3013

Other names 1

  • Big Smile Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4481 Lake Worth Rd
Ste B
Lake Worth, FL 33461
Phone (561) 331-3013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1023453321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 VIA BERNINI",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676939",
            "telephone_number": "561-331-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4481 LAKE WORTH RD STE B",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613929",
            "telephone_number": "561-331-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SMILE DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "DAYANA",
        "authorized_official_middle_name": "YOLANI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-331-3013",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Smile Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.