Mighty Smiles LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MIGHTY SMILES LLC

Practice address

837 59TH St FL 3
Brooklyn, NY 11220-3611

Phone

(718) 680-8881

Fax

(718) 680-7880

NPI assigned

Jul 15, 2020

Organization subpart

No

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

Authorized official

Name

Simon Wong, DDS

Title

President

Phone

(917) 885-3757

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1306454475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 59TH ST FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203611",
            "telephone_number": "718-680-8881",
            "fax_number": "718-680-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 59TH ST FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203611",
            "telephone_number": "718-680-8881",
            "fax_number": "718-680-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-885-3757",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02165608",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alina Migalina, CF-SLP
• Hamzeh Migdadi, MD
• Arkady Migdalovich, P.T.
• Tatyana Migdalovich, LPT
• Mighty Smiles Dental Care PLLC
• Danielle Mighty
• Alexey Migirov, DO MD
• Carolina Theresa Migliore
• Debra A Migliore, PMHNP
• Katherine Migliore, PA

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.