North Shore Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

051599 Issued in NY

Legal business name

NORTH SHORE ORTHODONTICS

Practice address

50 Route 111
Suite 214
Smithtown, NY 11787-3700

Phone

(631) 265-3435

Fax

(631) 382-7913

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Craig E. Smith, DMD

Title

Owner

Phone

(631) 265-3435

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Glen Korsen, DDS

  • Pediatric Dentistry
  • Smithtown, NY
  • NPI 1245444165
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1235348277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ROUTE 111",
            "address_2": "SUITE 214",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873700",
            "telephone_number": "631-265-3435",
            "fax_number": "631-382-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROUTE 111",
            "address_2": "SUITE 214",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873700",
            "telephone_number": "631-265-3435",
            "fax_number": "631-382-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-265-3435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "051599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Hematology Oncology Associates PC
• North Shore Medical & Surgical Eye Care PC
• North Shore Medical Accelerator PC
• North Shore Medical Group of the Mount Sinai School of Medicine
• North Shore Oral Surgery, LLC
• North Shore Psychiatric Consultants PC
• North Shore Psychological Services, PLLC
• North Shore Surgi-Center Inc
• North Shore Surgi-Center Inc.
• North Suffolk Colon and Rectal Surgery, PC

• All providers in Smithtown, NY
• 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 Feb 21, 2012; 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.