Organization Active NPI

Kinder Smiles Dental PC

  • General Practice Dentistry
  • Spring Valley, NY
National Provider Identifier
1114337201
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KINDER SMILES DENTAL PC
Practice address
1 Hillcrest Ctr
Suite 107
Spring Valley, NY 10977-3740
Phone
(845) 517-5700
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Dr. Daniel Y Fogel, DMDNPI 1629278668
Title
Dentist/Owner
Phone
(845) 517-5700

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1 Hillcrest Ctr
Suite 107
Spring Valley, NY 10977-3740

Mailing address

1 Hillcrest Ctr
Suite 107
Spring Valley, NY 10977-3740
Phone (845) 517-5700

National Provider Directory

National Provider Directory

Locations

1 Hillcrest Ctr
Ste 107
Spring Valley, NY 10977
Phone (845) 262-1062

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": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1114337201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HILLCREST CTR",
            "address_2": "SUITE 107",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773740",
            "telephone_number": "845-517-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HILLCREST CTR",
            "address_2": "SUITE 107",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773740",
            "telephone_number": "845-517-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDER SMILES DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "FOGEL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "845-517-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.