Organization Active NPI

The Smile Spot

  • Pediatric Dentistry
  • Southbury, CT
National Provider Identifier
1033669866
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
009872 Issued in CT
Legal business name
THE SMILE SPOT
Practice address
250 Main St S
Southbury, CT 06488-2263
Phone
(203) 405-6301
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Dr. Stephen Eric Kest
Title
Owner
Phone
(203) 405-6301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 009872 CT Primary

Addresses

Primary practice location

250 Main St S
Southbury, CT 06488-2263

Mailing address

250 Main St S
Southbury, CT 06488-2263
Phone (203) 405-6301

National Provider Directory

National Provider Directory
Tax ID family
The Smile Spot3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1033669866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882263",
            "telephone_number": "203-405-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882263",
            "telephone_number": "203-405-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILE SPOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "KEST",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-405-6301",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "009872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.