Organization Active NPI

Ortho Smiles of Staten Island PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Staten Island, NY
National Provider Identifier
1265913693
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ORTHO SMILES OF STATEN ISLAND PC
Practice address
2791 Richmond Ave Ste 202
Staten Island, NY 10314-5859
Phone
(718) 300-3499
NPI assigned
Aug 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Dr. Hong Yin, DDSNPI 1023272630
Title
President
Phone
(718) 300-3499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2791 Richmond Ave Ste 202
Staten Island, NY 10314-5859

Mailing address

2791 Richmond Ave Ste 201
Staten Island, NY 10314-5859
Phone (718) 300-3499

Other practice location 1

4864 Arthur Kill Rd Ste 400
Staten Island, NY 10309-2650
Phone (718) 300-3499

National Provider Directory

National Provider Directory

Locations

4864 Arthur Kill Rd
Ste 400
Staten Island, NY 10309
Phone (718) 300-3499

2791 Richmond Ave
Ste 202
Staten Island, NY 10314
Phone (718) 300-3499

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1265913693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 RICHMOND AVE STE 201",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145859",
            "telephone_number": "718-300-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 RICHMOND AVE STE 202",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145859",
            "telephone_number": "718-300-3499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4864 Arthur Kill Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103092650",
            "country_code": "US",
            "telephone_number": "718-300-3499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHO SMILES OF STATEN ISLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "YIN",
        "authorized_official_first_name": "HONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-300-3499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.