NPIMap

Organization Active NPI

Dr. Kates Premier Smiles Orthodontics Inc.

Doing business as Premier Smiles Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • University Heights, OH
National Provider Identifier
1356498778
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19830 Issued in OH
Legal business name
DR. KATES PREMIER SMILES ORTHODONTICS INC.
Doing business as
Premier Smiles Orthodontics
Practice address
13990 Cedar Rd Ste a
University Heights, OH 44118-3204
Phone
(216) 691-9944
Fax
(216) 691-9949
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Authorized official

Name
Dr. Dale A. Kates, DDSNPI 1497976070
Title
Owner
Phone
(216) 691-9944

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 19830 OH Primary

Addresses

Primary practice location

13990 Cedar Rd Ste a
University Heights, OH 44118-3204

Mailing address

13990 Cedar Rd Ste a
University Heights, OH 44118-3204
Phone (216) 691-9944

Other practice location 1

26110 Emery Rd Ste 100
Cleveland, OH 44128-5788
Phone (216) 464-7700

Other identifiers 1

IdentifierTypeStateIssuer
0064406MedicaidOH

Other names 1

  • Premier Smiles Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Kates Premier Smiles Orthodontics Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

13990 Cedar Rd
Ste A
University Heights, OH 44118
Phone (216) 691-9944

Practitioners & affiliated clinicians

Practitioners 2

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1356498778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13990 CEDAR RD STE A",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441183204",
            "telephone_number": "216-691-9944",
            "fax_number": "216-691-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13990 CEDAR RD STE A",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441183204",
            "telephone_number": "216-691-9944",
            "fax_number": "216-691-9949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26110 Emery Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441285788",
            "country_code": "US",
            "telephone_number": "216-464-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. KATES PREMIER SMILES ORTHODONTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "KATES",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-691-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "19830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064406",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Smiles Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Smiles Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in University Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.