Smile Cares Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02422300 Issued in NJ

Legal business name

SMILE CARES FAMILY DENTISTRY

Practice address

715 Broadway
Suite #201
Patterson, NJ 07514

Phone

(973) 433-4600

Fax

(973) 433-4601

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Jyothi Kalimereddi, DDS

Title

Owner

Phone

(973) 997-6394

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jyothi Kalimireddi, DDS

  • General Practice Dentistry
  • Paterson, NJ
  • NPI 1285941245

  General Practice

  NPD (past)

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1134591795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 BROADWAY",
            "address_2": "SUITE #201",
            "city": "PATTERSON",
            "state": "NJ",
            "postal_code": "07514",
            "telephone_number": "973-433-4600",
            "fax_number": "973-433-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 BROADWAY",
            "address_2": "SUITE #201",
            "city": "PATTERSON",
            "state": "NJ",
            "postal_code": "07514",
            "telephone_number": "973-433-4600",
            "fax_number": "973-433-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CARES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "KALIMEREDDI",
        "authorized_official_first_name": "JYOTHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-997-6394",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02422300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meera Bodas, MD
• Qing Lin, MD
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• Pathology Services, LLC

• All providers in Patterson, NJ
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.