Ismile Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9436 Issued in CT

Legal business name

ISMILE FAMILY DENTISTRY

Practice address

765 Main St
East Hartford, CT 06108-3123

Phone

(617) 335-8334

Fax

(860) 679-9389

NPI assigned

Sep 24, 2010

Last updated

May 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rubina Ali, D.M.D

Title

Owner

Phone

(617) 335-8334

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1245549203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WENTWORTH PLACE",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "617-335-8334",
            "fax_number": "860-679-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083123",
            "telephone_number": "617-335-8334",
            "fax_number": "860-679-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMILE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "RUBINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-335-8334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "009436",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "009576",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9436",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CT",
            "license": "010145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.