Organization Active NPI

Canton Smiles, Inc

  • General Practice Dentistry
  • Canton, OH
National Provider Identifier
1255740668
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CANTON SMILES, INC
Practice address
3455 Whipple Ave NW
Canton, OH 44718-3034
Phone
(330) 492-7889
Fax
(330) 492-7966
NPI assigned
Aug 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Gretchen Weiss
Title
Ofice Coordinator
Phone
(330) 492-7889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3455 Whipple Ave NW
Canton, OH 44718-3034

Mailing address

3455 Whipple Ave NW
Canton, OH 44718-3034
Phone (330) 492-7889

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1255740668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183034",
            "telephone_number": "330-492-7889",
            "fax_number": "330-492-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183034",
            "telephone_number": "330-492-7889",
            "fax_number": "330-492-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON SMILES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "OFICE COORDINATOR",
        "authorized_official_telephone_number": "330-492-7889"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.