Active NPI
Little Smile Company
- Pediatric Dentistry
- Cleveland, MS
National Provider Identifier
1366916892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- LITTLE SMILE COMPANY
- Practice address
- 303 Hospital Dr
Cleveland, MS 38732-2358 - Phone
- (662) 843-0000
- NPI assigned
- Jan 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roenikya Phillips, DMD
- Title
- Owner/ Pediatric Dentist
- Phone
- (662) 801-6861
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
303 Hospital Dr
Cleveland, MS 38732-2358
Mailing address
210 S Chrisman Ave # 730
Cleveland, MS 38732-3316
Phone (662) 801-6183
Other names 1
- Little Smile Co. Pediatric Dentistry & Orthodontics
National Provider Directory
National Provider DirectoryLocations
303 Hospital Dr
Cleveland, MS 38732
Phone (662) 843-0000
210 S Chrisman Ave
#730
Cleveland, MS 38732
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Cleveland, MS
- NPI 1407134109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549324800000",
"number": "1366916892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S CHRISMAN AVE # 730",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387323316",
"telephone_number": "662-801-6183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 HOSPITAL DR",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387322358",
"telephone_number": "662-843-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE SMILE COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-17",
"last_updated": "2019-02-05",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "ROENIKYA",
"authorized_official_title_or_position": "OWNER/ PEDIATRIC DENTIST",
"authorized_official_telephone_number": "662-801-6861",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Little Smile Co. Pediatric Dentistry & Orthodontics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Little Smile Co. Pediatric Dentistry & Orthodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cleveland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.