Organization Active NPI

Forest Dental Smile PC

  • General Practice Dentistry
  • Ridgewood, NY
National Provider Identifier
1154765287
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046206 Issued in NY
Legal business name
FOREST DENTAL SMILE PC
Practice address
6913 Forest Ave
Ridgewood, NY 11385-4457
Phone
(718) 417-8453
Fax
(718) 417-1739
NPI assigned
Apr 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Dr. Joanna Kowalewski, DDSNPI 1699848598
Title
Dentist
Phone
(718) 417-8453

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 046206 NY Primary

Addresses

Primary practice location

6913 Forest Ave
Ridgewood, NY 11385-4457

Mailing address

6913 Forest Ave
Ridgewood, NY 11385-4457
Phone (718) 417-8453

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1154765287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6913 FOREST AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854457",
            "telephone_number": "718-417-8453",
            "fax_number": "718-417-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 FOREST AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854457",
            "telephone_number": "718-417-8453",
            "fax_number": "718-417-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST DENTAL SMILE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "KOWALEWSKI",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-417-8453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.