Organization Active NPI

Belmont Smiles

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Belmont, MA
National Provider Identifier
1366744047
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
20896 Issued in MA
Legal business name
BELMONT SMILES
Practice address
16 Trapelo Rd
Belmont, MA 02478-4442
Phone
(617) 489-5500
Fax
(617) 489-7064
NPI assigned
Dec 1, 2010
Last updated
Dec 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Dr. Alexander Athanasiou, D.M.D.
Title
Owner
Phone
(617) 489-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 20896 MA Primary

Addresses

Primary practice location

16 Trapelo Rd
Belmont, MA 02478-4442

Mailing address

16 Trapelo Rd
Belmont, MA 02478-4442
Phone (617) 489-5500

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1366744047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 TRAPELO RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784442",
            "telephone_number": "617-489-5500",
            "fax_number": "617-489-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 TRAPELO RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784442",
            "telephone_number": "617-489-5500",
            "fax_number": "617-489-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "ATHANASIOU",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-489-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "20896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.