Organization Active NPI

Lawrenceville Healthy Smiles LLC

  • Dentist
  • Lawrenceville, GA
National Provider Identifier
1114400181
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LAWRENCEVILLE HEALTHY SMILES LLC
Practice address
102 Gordon St
Lawrenceville, GA 30046-6910
Phone
(732) 763-5843
NPI assigned
Sep 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Dr. Shalini Nair, DMD
Title
Owner
Phone
(732) 763-5843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

102 Gordon St
Lawrenceville, GA 30046-6910

Mailing address

102 Gordon St
Lawrenceville, GA 30046-6910
Phone (732) 763-5843

National Provider Directory

National Provider Directory

Locations

102 Gordon St
Lawrenceville, GA 30046
Phone (732) 763-5843

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1114400181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 GORDON ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466910",
            "telephone_number": "732-763-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GORDON ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466910",
            "telephone_number": "732-763-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEVILLE HEALTHY SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "SHALINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-763-5843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.