Brilliant Smiles Pediatric Dentistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BRILLIANT SMILES PEDIATRIC DENTISTRY, LLC

Doing business as

Brilliant Smiles Pediatric Dentistry

Practice address

237 Halsey St
Newark, NJ 07102

Phone

(862) 955-2285

Fax

(862) 367-8219

NPI assigned

Jul 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Suffiyah Webb, DDS

Title

Owner - Pediatric Dentist

Phone

(862) 955-2285

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brilliant Smiles Pediatric Dentistry Doing business as

Electronic endpoints 1

Practitioners 2

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

• Onoyom O Onyile, DMD

  • Pediatric Dentistry
  • Monroe, NJ
  • NPI 1891319638
  NPD (past)
• Fredrick Harris, PH.D., DDS

  • Pediatric Dentistry
  • New York, NY
  • NPI 1477115822
  NPD (past)

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1235862889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 HALSEY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023746",
            "telephone_number": "862-955-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 HALSEY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "862-955-2285",
            "fax_number": "862-367-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT SMILES PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "SUFFIYAH",
        "authorized_official_title_or_position": "OWNER - PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "862-955-2285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254576",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.brilliantnewark.com",
            "affiliation": "N",
            "endpointDescription": "Dental Practice Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "None",
            "address_1": "237 Halsey St",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "07102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brilliant Smiles Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bright Futures Alliance
• Bright Generation Unity Healthcare
• Anshel Bright, MD
• Comfort Bright
• Helen Brightman, PHYSICIAN ASSISTANT
• Osmund Brinkley
• Sascha Brinkley
• Leslie Brinson
• David S Briss, D.M.D., FRCDC
• Tonya S. Brissett, NURSE PRACTITIONER

• Dentist in Newark, NJ
• Providers in Newark, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.