NPIMap

Organization Active NPI

Smile Team PC

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1194319152
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE TEAM PC
Practice address
1335 W Tabor Rd Ste 312
Philadelphia, PA 19141-3041
Phone
(215) 709-0001
Fax
(215) 709-6002
NPI assigned
Feb 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Authorized official

Name
Bansi Doescher, DMDNPI 1720392491
Title
Owner
Phone
(732) 789-3811

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 SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1335 W Tabor Rd Ste 312
Philadelphia, PA 19141-3041

Mailing address

19 Simsbury Dr
Voorhees, NJ 08043-3948
Phone (732) 789-3811

National Provider Directory

National Provider Directory
Tax ID family
Smile Team PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the 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": "1613865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613865600000",
    "number": "1194319152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SIMSBURY DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433948",
            "telephone_number": "732-789-3811",
            "fax_number": "215-709-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W TABOR RD STE 312",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413041",
            "telephone_number": "215-709-0001",
            "fax_number": "215-709-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE TEAM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-21",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A",
        "authorized_official_last_name": "DOESCHER",
        "authorized_official_first_name": "BANSI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-789-3811",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.