Organization Active NPI

I-Smile Braces, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Islip, NY
National Provider Identifier
1164817870
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
054700-1 Issued in NY
Legal business name
I-SMILE BRACES, PLLC
Practice address
150 Islip Ave
Suite 3
Islip, NY 11751-3222
Phone
(631) 581-6565
Fax
(631) 581-6574
NPI assigned
Mar 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Authorized official

Name
Dr. Chandra Pham, DDS
Title
Orthodontist
Phone
(631) 581-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 054700-1 NY Primary

Addresses

Primary practice location

150 Islip Ave
Suite 3
Islip, NY 11751-3222

Mailing address

150 Islip Ave
Suite 3
Islip, NY 11751-3222
Phone (631) 581-6565

National Provider Directory

National Provider Directory

Locations

150 Islip Ave
Ste 3
Islip, NY 11751
Phone (631) 581-6565

Practitioners & affiliated clinicians

Practitioners 1

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": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1164817870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ISLIP AVE",
            "address_2": "SUITE 3",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513222",
            "telephone_number": "631-581-6565",
            "fax_number": "631-581-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ISLIP AVE",
            "address_2": "SUITE 3",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513222",
            "telephone_number": "631-581-6565",
            "fax_number": "631-581-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-SMILE BRACES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "631-581-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "054700-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.