Smile Masters LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SMILE MASTERS LLC

Practice address

11412 Beach Channel Dr Ste 4
Rockaway Park, NY 11694-2215

Phone

(718) 924-2091

NPI assigned

Nov 14, 2023

Organization subpart

No

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

Authorized official

Name

Isaac Mizrahi

Title

President & Coo

Phone

(646) 413-2935

Specialties & licenses 2

Addresses

Other names 1

• Rockaway Beach Orthodontics Doing business as

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1194599688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 BEACH CHANNEL DR STE 4",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942215",
            "telephone_number": "718-924-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 BEACH CHANNEL DR STE 4",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942215",
            "telephone_number": "718-924-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MASTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "MIZRAHI",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "646-413-2935"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockaway Beach Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maka Giorgievna Shermadini, PTA
• Shibrah M. Jamil, MD, P.C.
• John Richard Shure, D.D.S.
• Dilranie Singh, M.S.,OTRL
• SJ Behavioral Services Inc
• Jennifer Smith, PHD
• Kerry-Ann Keisha Smith, RDMS
• Thomas Gerard Smith Jr., PSYCHOANALYST
• Theresa Elizabeth Smyth-Nestor
• Solstice Idtf, Inc

• Orthodontics and Dentofacial Orthopedics Dentistry in Rockaway Park, NY
• Providers in Rockaway Park, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.