Beautiful Smiles Dental Associates PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BEAUTIFUL SMILES DENTAL ASSOCIATES PC

Practice address

1212 6TH Ave FL 4
New York, NY 10036-1602

Phone

(212) 997-0203

Fax

(212) 624-0289

NPI assigned

Apr 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Irina Reyzelman, DDS

Title

President

Phone

(212) 997-0203

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1184949802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 6TH AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100361602",
            "telephone_number": "212-997-0203",
            "fax_number": "212-624-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 6TH AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100361602",
            "telephone_number": "212-997-0203",
            "fax_number": "212-624-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL SMILES DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "REYZELMAN",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-997-0203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beauregard Creative Arts Therapy PLLC
• Mark Beauregard, RDT-BCT, LCAT
• Rachel Celestine Beauregard, LMSW
• Beaute Des Arts
• Beautiful Life Rehab Physical Therapy, P.C.
• Elizabeth Jane Beautyman, M.D.
• Jacques C. Beauvais, M.D.
• Natacha Beauvais, FNP
• Taylor Lindsey Beauvais, PA-C
• Beaux Medicine PLLC

• All providers in New York, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.