Superhero Smiles

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SUPERHERO SMILES

Practice address

368 Kanan Rd
Oak Park, CA 91377-1111

Phone

(818) 233-8400

NPI assigned

Dec 10, 2020

Organization subpart

No

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

Authorized official

Name

Annie Pilon

Title

Office Manager

Phone

(323) 933-5919

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Superhero Smiles Doing business as

Tax ID family

Frankel Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Frankel Orthodontics

  • Pediatric Dentistry
  • Oak Park, CA
  • NPI 1518563782
  NPD tax ID

Locations

Practitioners 1

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

• Shlomo Steven Frankel, DDS

  • Pediatric Dentistry
  • Oak Park, CA
  • NPI 1740419043
  NPD

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1164028452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 KANAN RD",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913771111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 KANAN RD",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913771111",
            "telephone_number": "818-233-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERHERO SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "PILON",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-933-5919"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "59649",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superhero Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bernhard Staschik, CMT
• Steph Sands Doula LLC
• Shari Beth Stillman-Corbitt, PSY.D.
• Strong Therapeutics LLC
• Michael Blake Stuart, RADT
• Tad a Erickson DDS a Dental Corporation
• Carla Tahan, M.D.
• Karen Tenenblatt, M.D.
• Tessa G Inc.
• Valley Psych

• All providers in Oak Park, CA
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.