Organization Active NPI

Smile America

  • Dentist
  • Farmington Hills, MI
National Provider Identifier
1275809162
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901017620 Issued in MI
Legal business name
SMILE AMERICA
Practice address
30890 W 10 Mile Rd
Farmington Hills, MI 48336-2606
Phone
(248) 939-1801
NPI assigned
Mar 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Nidaa Abdal, DDSNPI 1164515128
Title
Owner
Phone
(248) 478-0900

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2901017620 MI Primary

Addresses

Primary practice location

30890 W 10 Mile Rd
Farmington Hills, MI 48336-2606

Mailing address

30890 W 10 Mile Rd
Farmington Hills, MI 48336-2606
Phone (248) 939-1801

National Provider Directory

National Provider Directory

Locations

30890 W 10 Mile Rd
Farmington Hills, MI 48336
Phone (248) 478-0900

Practitioners & affiliated clinicians

Practitioners 4

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": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1275809162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30890 W 10 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362606",
            "telephone_number": "248-939-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30890 W 10 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362606",
            "telephone_number": "248-939-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "ABDAL",
        "authorized_official_first_name": "NIDAA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-478-0900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.