NPIMap

Organization Active NPI

We Make Kids Smile, LLC

  • Pediatric Dentistry
  • Waldorf, MD
National Provider Identifier
1114658788
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
WE MAKE KIDS SMILE, LLC
Practice address
3460 Old Washington Rd Ste 200
Waldorf, MD 20602-3242
Phone
(301) 645-6556
Fax
(301) 638-3131
NPI assigned
Jun 23, 2022
Last updated
Jun 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Felix J Aguto III, DDSNPI 1528089422
Title
LLC Member
Phone
(410) 963-0015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

3460 Old Washington Rd Ste 200
Waldorf, MD 20602-3242

Mailing address

1511 Millers Way
Port Republic, MD 20676-3113
Phone (410) 586-3150

Other practice location 1

540 Main St
Prince Frederick, MD 20678-3346
Phone (410) 535-5330

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1114658788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 MILLERS WAY",
            "city": "PORT REPUBLIC",
            "state": "MD",
            "postal_code": "206763113",
            "telephone_number": "410-586-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 OLD WASHINGTON RD STE 200",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023242",
            "telephone_number": "301-645-6556",
            "fax_number": "301-638-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Main St",
            "address_purpose": "LOCATION",
            "city": "Prince Frederick",
            "state": "MD",
            "postal_code": "206783346",
            "country_code": "US",
            "telephone_number": "410-535-5330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WE MAKE KIDS SMILE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "AGUTO",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "410-963-0015",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.