Organization Active NPI

Smile Family Dentist

  • Dental Clinic/Center
  • New York, NY
National Provider Identifier
1326210410
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE FAMILY DENTIST
Practice address
247 E 116TH St
New York, NY 10029-1402
Phone
(212) 410-3909
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
John Letizia, DMDNPI 1881742567
Title
Dentist
Phone
(212) 410-3909

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

247 E 116TH St
New York, NY 10029-1402

Mailing address

247 E 116TH St
Ground Floor
New York, NY 10029-1402
Phone (212) 410-3909

Other identifiers 1

IdentifierTypeStateIssuer
9176500OtherNYDORAL

National Provider Directory

National Provider Directory
Tax ID family
Smile Family Dentist2 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.

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": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1326210410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 E 116TH ST",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291402",
            "telephone_number": "212-410-3909",
            "fax_number": "212-426-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 E 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291402",
            "telephone_number": "212-410-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE FAMILY DENTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "LETIZIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-410-3909",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9176500",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.