NPIMap

Organization Active NPI

Wilson Smiles Dental LLC

  • Dental Clinic/Center
  • Newark, NJ
National Provider Identifier
1124585674
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WILSON SMILES DENTAL LLC
Practice address
41-51 Wilson Ave Ste 2-D
Newark, NJ 07105-3269
Phone
(973) 589-7337
NPI assigned
Feb 20, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Uma Kanikicharla, MDNPI 1487840039
Title
Ceo
Phone
(732) 857-7247

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

41-51 Wilson Ave Ste 2-D
Newark, NJ 07105-3269

Mailing address

41-51 Wilson Ave Ste 2-D
Newark, NJ 07105-3269
Phone (973) 589-7337

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1124585674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-51 WILSON AVE STE 2-D",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053269",
            "telephone_number": "973-589-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-51 WILSON AVE STE 2-D",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053269",
            "telephone_number": "973-589-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON SMILES DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KANIKICHARLA",
        "authorized_official_first_name": "UMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-857-7247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.