Organization Active NPI

Tru Smiles Dental of Huntington PLLC

  • Dentist
  • Huntington, NY
National Provider Identifier
1336018183
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TRU SMILES DENTAL OF HUNTINGTON PLLC
Practice address
205 E Main St Ste 1-1
Huntington, NY 11743-7934
Phone
(631) 421-1818
NPI assigned
Oct 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Radmila ShuminovNPI 1669826905
Title
Owner
Phone
(631) 421-1818

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

205 E Main St Ste 1-1
Huntington, NY 11743-7934

Mailing address

205 E Main St Ste 1-1
Huntington, NY 11743-7934
Phone (631) 421-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260323003464 NY Part B Supplier - Clinic/Group Practice 8426532912 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, NY

National Provider Directory

National Provider Directory

Locations

205 E Main St
Ste 1-1
Huntington, NY 11743
Phone (631) 421-1818

Practitioners & affiliated clinicians

Practitioners 3

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": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1336018183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST STE 1-1",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437934",
            "telephone_number": "631-421-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST STE 1-1",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437934",
            "telephone_number": "631-421-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU SMILES DENTAL OF HUNTINGTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "SHUMINOV",
        "authorized_official_first_name": "RADMILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-421-1818"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.