Organization Active NPI

Smile Spot Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pomona, NY
National Provider Identifier
1053130567
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Karin Grinbaum, DDSNPI 1841544913
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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.