NPIMap

Organization Active NPI

Smile and Shine Dental, LLC

  • General Practice Dentistry
  • Waterbury, CT
National Provider Identifier
1093161234
Registry record updated May 6, 2016
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11126 Issued in CT
Legal business name
SMILE AND SHINE DENTAL, LLC
Practice address
158 Manor Avenue
Waterbury, CT 06705-1206
Phone
(909) 226-6006
NPI assigned
May 6, 2016
Last updated
May 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Authorized official

Name
Dr. Vikas Sikka, DMD
Title
Manager
Phone
(909) 226-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11126 CT Primary

Addresses

Primary practice location

158 Manor Avenue
Waterbury, CT 06705-1206

Mailing address

158 Manor Ave
Waterbury, CT 06705-1206

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1093161234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 MANOR AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 MANOR AVENUE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051206",
            "telephone_number": "909-226-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE AND SHINE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "SIKKA",
        "authorized_official_first_name": "VIKAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-226-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.