Smile Maker

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE MAKER

Practice address

1775 Street Rd
Southampton, PA 18966-4564

Phone

(215) 834-0678

Fax

(215) 969-2014

NPI assigned

Aug 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Dmitry Karagodsky, DDSNPI 1992909261

Title

Owner

Phone

(215) 834-0678

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Dmitry Karagodsky, DDS

  • Dentist
  • Philadelphia, PA
  • NPI 1992909261
  NPD Authorized official

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1154049047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664564",
            "telephone_number": "215-834-0678",
            "fax_number": "215-969-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 STREET RD",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664564",
            "telephone_number": "215-834-0678",
            "fax_number": "215-969-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MAKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "KARAGODSKY",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-834-0678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "na",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1775 Street Rd",
            "city": "Southampton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189664564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leslie M Sharpe, MD
• Susanne C. Shear, COTAL
• John Joseph Sherbin, RPH
• Rachel Mariah Shifflet, RD
• Diane Sizer, PH.D.
• Sohl Foot & Ankle
• Andrew J Sohl, DPM
• David Solomon, PHYSICAL THERAPIST
• Madeline Harenza Sousa, MS
• Southampton Chiropractic & Wellness Center, PC

• General Practice Dentistry in Southampton, PA
• Providers in Southampton, PA by specialty
• General Practice Dentistry in Pennsylvania

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