Organization Active NPI

Sunny Smile

  • Preferred Provider Organization
  • National City, CA
National Provider Identifier
1285082909
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
54195 Issued in CA
Legal business name
SUNNY SMILE
Practice address
2240 East Plaza Blvd., Suite Q
National City, CA 91950-5166
Phone
(619) 475-5767
NPI assigned
Jun 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Carmela Reed, D.D.S.NPI 1750574851
Title
Dentist
Phone
(619) 475-5767

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 54195 CA
Preferred Provider Organization 305R00000X 54195 CA Primary

Addresses

Primary practice location

2240 East Plaza Blvd., Suite Q
National City, CA 91950-5166

Mailing address

2240 East Plaza Blvd., Suite Q
National City, CA 91950-5166
Phone (619) 475-5767

Other identifiers 1

IdentifierTypeStateIssuer
1750574851OtherCAPERSONAL NPI

National Provider Directory

National Provider Directory

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": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1285082909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 EAST PLAZA BLVD., SUITE Q",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505166",
            "telephone_number": "619-475-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 EAST PLAZA BLVD., SUITE Q",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505166",
            "telephone_number": "619-475-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SMILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CARMELA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "619-475-5767",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "54195",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "54195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1750574851",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.