Organization Active NPI

Little Smile Company

  • Pediatric Dentistry
  • Cleveland, MS
National Provider Identifier
1366916892
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Dr. Roenikya Phillips, DMDNPI 1407134109
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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.