Organization Active NPI

My Smiles Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Flushing, NY
National Provider Identifier
1063809572
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
056590-1 Issued in NY
Legal business name
MY SMILES ORTHODONTICS PLLC
Practice address
7505 Parsons Blvd
Flushing, NY 11366-1037
Phone
(718) 380-1230
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Emanuel Abayev, DDSNPI 1861789638
Title
President
Phone
(347) 456-1839

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 056590-1 NY Primary

Addresses

Primary practice location

7505 Parsons Blvd
Flushing, NY 11366-1037

Mailing address

7505 Parsons Blvd
Flushing, NY 11366-1037

National Provider Directory

National Provider Directory

Locations

7505 Parsons Blvd
Flushing, NY 11366
Phone (718) 380-1230

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": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1063809572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661037",
            "telephone_number": "718-380-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SMILES ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "ABAYEV",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-456-1839",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "056590-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.