Organization Active NPI

Marita Smith Dentistry, PC

Doing business as Smith's Little Smiles

  • Pediatric Dentistry
  • Pomona, NY
National Provider Identifier
1366993990
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
056224 Issued in NY
Legal business name
MARITA SMITH DENTISTRY, PC
Doing business as
Smith's Little Smiles
Practice address
5C Medical Park Drive
Pomona, NY 10970
Phone
(845) 414-9626
NPI assigned
Oct 19, 2016
Last updated
Oct 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Dr. Marita Smith, DDSNPI 1659630663
Title
Owner
Phone
(845) 414-9626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 056224 NY Primary

Addresses

Primary practice location

5C Medical Park Drive
Pomona, NY 10970

Mailing address

5C Medical Park Drive
Pomona, NY 10970
Phone (845) 414-9626

Other names 1

  • Smith's Little Smiles Doing business as

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": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1366993990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5C MEDICAL PARK DRIVE",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "10970",
            "telephone_number": "845-414-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5C MEDICAL PARK DRIVE",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "10970",
            "telephone_number": "845-414-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARITA SMITH DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-414-9626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "056224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith's Little Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.