Organization Active NPI

Kids Healthy Smiles LLC

  • Dental Clinic/Center
  • Pompano Beach, FL
National Provider Identifier
1225543705
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KIDS HEALTHY SMILES LLC
Practice address
2722 NE 1St St Ste 1
Pompano Beach, FL 33062-4934
Phone
(954) 590-8454
Fax
(754) 220-6162
NPI assigned
Dec 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Dr. Erika Granada Ramirez, DDS
Title
Dentist
Phone
(954) 590-8454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2722 NE 1St St Ste 1
Pompano Beach, FL 33062-4934

Mailing address

2722 NE 1St St Ste 1
Pompano Beach, FL 33062-4934
Phone (954) 590-8454

National Provider Directory

National Provider Directory

Locations

2722 NE 1st St
Ste 1
Pompano Beach, FL 33062
Phone (954) 590-8454

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1225543705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 NE 1ST ST STE 1",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624934",
            "telephone_number": "954-590-8454",
            "fax_number": "754-220-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 NE 1ST ST STE 1",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624934",
            "telephone_number": "954-590-8454",
            "fax_number": "754-220-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS HEALTHY SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "GRANADA RAMIREZ",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-590-8454",
        "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 Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.