Smile Makers, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS038126 Issued in PA

Legal business name

SMILE MAKERS, PC

Practice address

1192 W Penn Ave
Suite 3
Womelsdorf, PA 19567-9702

Phone

(610) 589-6084

Fax

(610) 589-6284

NPI assigned

Nov 29, 2010

Last updated

Nov 29, 2010By 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. Matthew Ghadami, DDS

Title

Dentist

Phone

(516) 633-2109

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Asha J Katragadda, D.D.S

  • Dentist
  • Womelsdorf, PA
  • NPI 1780918474
  NPD (past)

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1285936195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 W. PENN AVE",
            "address_2": "SUITE 3",
            "city": "WOMELSDORF",
            "state": "PA",
            "postal_code": "19567",
            "telephone_number": "610-589-6084",
            "fax_number": "610-589-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 W PENN AVE",
            "address_2": "SUITE 3",
            "city": "WOMELSDORF",
            "state": "PA",
            "postal_code": "195679702",
            "telephone_number": "610-589-6084",
            "fax_number": "610-589-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MAKERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "GHADAMI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "516-633-2109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "241411041",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pure Birthing Bliss LLC
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 03400)
• Albert D Roke, M.D.
• Charity Shenk
• Smile Makers Dentistry PC (Smile Makers)
• Sarah Snyder, MSW, LCSW
• Catherine Ann Stoudt, RPH
• Supplement You Inc.
• Marley Vanderbrook

• General Practice Dentistry in Womelsdorf, PA
• Providers in Womelsdorf, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.