Dr. Smile Medical Group, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

DR. SMILE MEDICAL GROUP, INC.

Practice address

36 E 36TH St Ste 204
New York, NY 10016-3441

Phone

(917) 292-8715

NPI assigned

May 12, 2025

Last updated

May 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chen Li, PHD

Title

President

Phone

(917) 292-8715

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1093505919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HILLYNDALE RD",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062681802",
            "telephone_number": "917-292-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E 36TH ST STE 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163441",
            "telephone_number": "917-292-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SMILE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-04",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "CHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-292-8715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dr. Stuart Kitton
• Dr. Theodore Antonetz, DPM, PC
• Dr. Theresa C. Mueller D.D.S. P.C.

• Health Maintenance Organization in New York, NY
• Providers in New York, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.