NPIMap

Organization Active NPI

Smile Services, LLC

  • Public Health Dentistry
  • Washington, DC
National Provider Identifier
1366797748
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
DEN1000983 Issued in NU
Legal business name
SMILE SERVICES, LLC
Practice address
1100 1St St SE Apt 603
Washington, DC 20003-4712
Phone
(615) 480-5562
NPI assigned
Jul 20, 2012
Last updated
Jul 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Dr. Kevin C. Granger, DDSNPI 1467439281
Title
Managing Member/Owner
Phone
(615) 480-5562

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
Public Health Dentistry 1223D0001X DEN1000983 NU Primary

Addresses

Primary practice location

1100 1St St SE Apt 603
Washington, DC 20003-4712

Mailing address

736 Bleak Hill PL
Upper Marlboro, MD 20774-8863
Phone (615) 480-5562

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": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1366797748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 BLEAK HILL PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748863",
            "telephone_number": "615-480-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 1ST ST SE APT 603",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034712",
            "telephone_number": "615-480-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "615-480-5562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NU",
            "license": "DEN1000983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.