Organization Active NPI

Smilealign Orthodontics

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1053665414
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
046387-1 Issued in NY
Legal business name
SMILEALIGN ORTHODONTICS
Practice address
1680 E 19TH St
Brooklyn, NY 11229-1312
Phone
(718) 336-7190
Fax
(718) 645-2024
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Dr. Theodore Sami Wohl, DMDNPI 1306926464
Title
Dentist
Phone
(718) 336-7190

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 046387-1 NY Primary

Addresses

Primary practice location

1680 E 19TH St
Brooklyn, NY 11229-1312

Mailing address

1680 E 19TH St
Brooklyn, NY 11229-1312
Phone (718) 336-7190

Other identifiers 1

IdentifierTypeStateIssuer
1306926464MedicaidNY

National Provider Directory

National Provider Directory

Locations

1680 E 19th St
Brooklyn, NY 11229
Phone (718) 336-7190

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": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1053665414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291312",
            "telephone_number": "718-336-7190",
            "fax_number": "718-645-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E 19TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291312",
            "telephone_number": "718-336-7190",
            "fax_number": "718-645-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEALIGN ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "WOHL",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "SAMI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-336-7190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "046387-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306926464",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.