Smileline Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

047927 Issued in NY

Legal business name

SMILELINE ORTHODONTICS

Practice address

3522 154TH St
Flushing, NY 11354-5020

Phone

(718) 460-1802

Fax

(347) 368-6966

NPI assigned

Nov 20, 2006

Last updated

Mar 31, 2011By 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. John Sokyong Om, DDSNPI 1962792853

Title

President

Phone

(718) 460-1802

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Sokyong Om, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Flushing, NY
  • NPI 1962792853
  NPD (past) Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1255405031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 154TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545020",
            "telephone_number": "718-460-1802",
            "fax_number": "347-368-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 154TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545020",
            "telephone_number": "718-460-1802",
            "fax_number": "347-368-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILELINE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "OM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SOKYONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-460-1802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "047927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02691927",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Small
• Zaire Smalls
• Smile Adult Daycare Inc
• Smile Pharmacy, Inc
• Smile Pharmacy,Inc
• Smilesweet Orthodontics PC
• Maria Smilios, RN
• Brian Austin Smith, DO
• Chudian Smith, RN
• Debbie Z Smith, RPT

• Orthodontics and Dentofacial Orthopedics Dentistry in Flushing, NY
• Providers in Flushing, NY by specialty
• 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 Mar 31, 2011; 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.