Organization Active NPI

Westchester Smile Design Dentistry, PC

  • Dental Clinic/Center
  • Mount Kisco, NY
National Provider Identifier
1053557041
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
041695-2 Issued in NY
Legal business name
WESTCHESTER SMILE DESIGN DENTISTRY, PC
Practice address
39 Smith Ave
Mount Kisco, NY 10549-2838
Phone
(914) 241-8200
Fax
(914) 241-3073
NPI assigned
Dec 23, 2008
Organization subpart
Yes
Parent organization
WESTCHESTER SMILE DESIGN DENTISTRY, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
Dr. Stacie Terrie Calian
Title
Owner
Phone
(914) 241-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 041695-2 NY Primary

Addresses

Primary practice location

39 Smith Ave
Mount Kisco, NY 10549-2838

Mailing address

39 Smith Ave
Mount Kisco, NY 10549-2838
Phone (914) 241-8200

Other names 1

  • Westchester Smile Design Dentistry Doing business as

National Provider Directory

National Provider Directory
Part of
Westchester Smile Design

NPI Registry JSON

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1053557041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SMITH AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492838",
            "telephone_number": "914-241-8200",
            "fax_number": "914-241-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SMITH AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492838",
            "telephone_number": "914-241-8200",
            "fax_number": "914-241-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER SMILE DESIGN DENTISTRY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTCHESTER SMILE DESIGN DENTISTRY, PC",
        "enumeration_date": "2008-12-23",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "CALIAN",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "TERRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-241-8200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "041695-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westchester Smile Design Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.