Smile Express Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45536 Issued in CA

Legal business name

SMILE EXPRESS INC.

Doing business as

Parkridge Dental Spa

Practice address

520 E Parkridge Ave
Corona, CA 92879-1040

Phone

(951) 735-0200

NPI assigned

Dec 28, 2011

Last updated

Dec 28, 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. Coracel T Johnson, DDS

Title

Principal Partner

Phone

(951) 735-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Parkridge Dental Spa Doing business as

Locations

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.

• Elizabeth Jahanian, DDS

  • Dentist
  • Corona, CA
  • NPI 1639463169
  NPD (past)

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1275802894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E PARKRIDGE AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E PARKRIDGE AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791040",
            "telephone_number": "951-735-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE EXPRESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CORACEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRINCIPAL PARTNER",
        "authorized_official_telephone_number": "951-735-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "45536",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkridge Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ashley Slouka
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• SMG Limo Services Inc
• Aaron Smith, PSY.D.
• Cameron Lanai Smith, PT
• Christalblu Smith
• David Stafford Smith, PH.D.
• Felicia Smith

• General Practice Dentistry in Corona, CA
• Providers in Corona, CA by specialty
• General Practice Dentistry in California

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