NPIMap

Organization Active NPI

Family Smile Center, LLC

  • General Practice Dentistry
  • Manchester, CT
National Provider Identifier
1356543268
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9599 Issued in CT
Legal business name
FAMILY SMILE CENTER, LLC
Practice address
200 W Center St
Manchester, CT 06040-4864
Phone
(860) 646-0230
NPI assigned
Jun 3, 2007
Reactivated
Oct 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Dr. Jodi C Levy, DDSNPI 1487738290
Title
Owner
Phone
(248) 506-6828

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9599 CT Primary

Addresses

Primary practice location

200 W Center St
Manchester, CT 06040-4864

Mailing address

135 Brittany Farms Rd
Unit D
New Britain, CT 06053-1127

National Provider Directory

National Provider Directory

Locations

200 W Center St
Manchester, CT 06040
Phone (860) 241-0317

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": "1180828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1356543268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BRITTANY FARMS RD",
            "address_2": "UNIT D",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060531127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404864",
            "telephone_number": "860-646-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SMILE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-03",
        "last_updated": "2012-10-10",
        "deactivation_date": "2011-05-05",
        "reactivation_date": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-506-6828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.