Organization Active NPI

Smile Beautiful, PLLC

  • Dental Clinic/Center
  • Belmont, MA
National Provider Identifier
1174081855
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE BEAUTIFUL, PLLC
Practice address
66 Leonard St Ste 2
Belmont, MA 02478-2512
Phone
(617) 484-6558
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2021

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

Authorized official

Name
Dr. Karessa Amalia Kuntz, DDSNPI 1861450728
Title
DDS
Phone
(704) 502-5897

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

66 Leonard St Ste 2
Belmont, MA 02478-2512

Mailing address

42 Clark St
Belmont, MA 02478-2452
Phone (704) 502-5897

National Provider Directory

National Provider Directory

Locations

66 Leonard St
Ste 2
Belmont, MA 02478
Phone (617) 484-6558

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": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616889600000",
    "number": "1174081855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CLARK ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782452",
            "telephone_number": "704-502-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LEONARD ST STE 2",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782512",
            "telephone_number": "617-484-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BEAUTIFUL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2021-03-28",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "KUNTZ",
        "authorized_official_first_name": "KARESSA",
        "authorized_official_middle_name": "AMALIA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "704-502-5897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.