NPIMap

Organization Active NPI

Michael and Chan Smiles LTD

  • Pediatric Dentistry
  • Sparks, NV
National Provider Identifier
1124562269
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
S6-83 Issued in NV
Legal business name
MICHAEL AND CHAN SMILES LTD
Practice address
850 I St
Sparks, NV 89431-3689
Phone
(775) 358-5330
Fax
(775) 358-5344
NPI assigned
Dec 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Mary Ann MichaelNPI 1609039072
Title
President
Phone
(775) 358-5330

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
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X S6-83 NV Primary

Addresses

Primary practice location

850 I St
Sparks, NV 89431-3689

Mailing address

850 I St
Sparks, NV 89431-3689
Phone (775) 358-5330

Other names 1

  • Dentistry for Children Doing business as

National Provider Directory

National Provider Directory

Locations

850 I St
Sparks, NV 89431
Phone (775) 358-5330

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1124562269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 I ST",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894313689",
            "telephone_number": "775-358-5330",
            "fax_number": "775-358-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 I ST",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894313689",
            "telephone_number": "775-358-5330",
            "fax_number": "775-358-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL AND CHAN SMILES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-358-5330"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry for Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.