Organization Active NPI

Little Smiles Dentaloffice #4

  • Dental Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1073874723
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN16953 Issued in FL
Legal business name
LITTLE SMILES DENTALOFFICE #4
Practice address
1708 N Federal Hwy
Lake Worth, FL 33460-6668
Phone
(561) 736-8755
Fax
(561) 736-3996
NPI assigned
May 30, 2012
Organization subpart
Yes
Parent organization
LITTLE SMILES DENTAL #1As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Dr. Gonzalo E Cortes, DMD
Title
Owner
Phone
(305) 698-7566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN16953 FL Primary

Addresses

Primary practice location

1708 N Federal Hwy
Lake Worth, FL 33460-6668

Mailing address

1708 N Federal Hwy
Lake Worth, FL 33460-6668

Other names 1

  • LITTLE SMILES DENTAL # 1 Former legal business name

National Provider Directory

National Provider Directory
Part of
Little Smiles Dental Office 1

Locations

1708 N Federal Hwy
Lake Worth, FL 33460
Phone (561) 270-0209

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1073874723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 N FEDERAL HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 N FEDERAL HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606668",
            "telephone_number": "561-736-8755",
            "fax_number": "561-736-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SMILES DENTALOFFICE #4",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LITTLE SMILES DENTAL #1",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-698-7566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN16953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LITTLE SMILES DENTAL # 1",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.