Smile Country Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILE COUNTRY DENTAL

Practice address

140 Stony Point Rd Ste a
Santa Rosa, CA 95401-4121

Phone

(707) 578-3188

Fax

(916) 384-3844

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Yan Kalika, DDS

Title

Owner

Phone

(916) 702-1213

Specialties & licenses 1

Addresses

Tax ID family

Smile Country Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Smile Country Dental

  • Dentist
  • Napa, CA
  • NPI 1285119370
  NPD tax ID

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1295202125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 BEACON BLVD",
            "city": "W SACRAMENTO",
            "state": "CA",
            "postal_code": "956913462",
            "telephone_number": "916-702-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STONY POINT RD STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014121",
            "telephone_number": "707-578-3188",
            "fax_number": "916-384-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE COUNTRY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "KALIKA",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-702-1213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Small
• Jennie Lynn Smallcomb, PT, DPT
• Kelly Smallcombe, BCBA
• Tina Smalley, CD(DONA)
• Joseph C. Smihula, NP
• Susan Marie Smile, MD
• Barry Smith, M.D.
• Briant W Smith, MD
• Brooke Smith
• Casey Josephine Smith, AU.D.

• Dental Clinic/Center in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.