Smile Therapy Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SMILE THERAPY CENTER

Practice address

3544 3Rd Ave S
Minneapolis, MN 55408-4524

Phone

(507) 782-1420

NPI assigned

Dec 23, 2024

Organization subpart

No

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

Authorized official

Name

Dianna Moore

Title

Manager

Phone

(507) 782-1420

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bilan Ali Arab

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1033829130
  NPD

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1205644135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 3RD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084524",
            "telephone_number": "507-782-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 3RD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084524",
            "telephone_number": "507-782-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "507-782-1420"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Mary Smead, CNS,DNP
• Steven Smedshammer, MD
• Ashley Smeltzer, RN
• John Smetana, RN
• Smile Orthodontics Stillwater LLC
• Smiles at France
• Smiley Therapeutic Services LLC
• Vicky Smiley-Turner
• Sandra Sue Smith Hanen, EDD
• Monica Jane Smith Montoya, OTR

• Early Intervention Provider Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.