NPIMap

Organization Active NPI

Dr. Kates Premier Smiles Orthodontics Inc

Doing business as Premier Smiles Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mentor, OH
National Provider Identifier
1134630163
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30.019830 Issued in OH
Legal business name
DR. KATES PREMIER SMILES ORTHODONTICS INC
Doing business as
Premier Smiles Orthodontics
Practice address
9179 Mentor Ave Ste K
Mentor, OH 44060-6398
Phone
(440) 205-1222
Fax
(440) 974-5474
NPI assigned
Oct 17, 2017
Last updated
Oct 17, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
DR. KATES PREMIER SMILES ORTHODONTICS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Authorized official

Name
Nakia Thomas
Title
Manager
Phone
(216) 395-7336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 30.019830 OH Primary

Addresses

Primary practice location

9179 Mentor Ave Ste K
Mentor, OH 44060-6398

Mailing address

9179 Mentor Ave Ste K
Mentor, OH 44060-6398
Phone (440) 205-1222

Other names 1

  • Premier Smiles Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Kates Premier Smiles Orthodontics Inc5 organizations share this tax ID, including this one
Part of
Dr Kates Premier Smiles Orthodontics Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1134630163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9179 MENTOR AVE STE K",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606398",
            "telephone_number": "440-205-1222",
            "fax_number": "440-974-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9179 MENTOR AVE STE K",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606398",
            "telephone_number": "440-205-1222",
            "fax_number": "440-974-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KATES PREMIER SMILES ORTHODONTICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. KATES PREMIER SMILES ORTHODONTICS INC",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "NAKIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "216-395-7336"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30.019830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Smiles Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.