Active NPI
Smile Spot Orthodontics PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pomona, NY
National Provider Identifier
1053130567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- SMILE SPOT ORTHODONTICS PLLC
- Practice address
- 14 Thiells Mount Ivy Rd Ste 103
Pomona, NY 10970-3021 - Phone
- (845) 400-2479
- Fax
- (845) 400-2537
- NPI assigned
- Oct 10, 2024
- 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
- Karin Grinbaum, DDS
- Title
- Owner/Orthodontist
- Phone
- (845) 400-2479
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
14 Thiells Mount Ivy Rd Ste 103
Pomona, NY 10970-3021
Mailing address
14 Thiells Mount Ivy Rd Ste 103
Pomona, NY 10970-3021
Phone (845) 400-2479
National Provider Directory
National Provider DirectoryLocations
14 Thiells Mount Ivy Rd
Ste 103
Pomona, NY 10970
Phone (845) 400-2479
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- New York, NY
- NPI 1841544913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728518400000",
"number": "1053130567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 THIELLS MOUNT IVY RD STE 103",
"city": "POMONA",
"state": "NY",
"postal_code": "109703021",
"telephone_number": "845-400-2479",
"fax_number": "845-400-2537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 THIELLS MOUNT IVY RD STE 103",
"city": "POMONA",
"state": "NY",
"postal_code": "109703021",
"telephone_number": "845-400-2479",
"fax_number": "845-400-2537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE SPOT ORTHODONTICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-10",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A",
"authorized_official_last_name": "GRINBAUM",
"authorized_official_first_name": "KARIN",
"authorized_official_title_or_position": "OWNER/ORTHODONTIST",
"authorized_official_telephone_number": "845-400-2479",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.