D-Smiles LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

0401414229 Issued in VA

Legal business name

D-SMILES LLC

Practice address

8082 Crescent Park Dr
Gainesville, VA 20155-3447

Phone

(571) 278-2096

NPI assigned

Jan 17, 2017

Last updated

Jan 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kim-Ngan DO, DMDNPI 1750726394

Title

Owner

Phone

(571) 278-2096

Specialties & licenses 1

Addresses

Locations

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.

• Kim-Ngan DO

  • Dentist
  • Gainesville, VA
  • NPI 1750726394
  NPD (past) Authorized official

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1386180149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8082 CRESCENT PARK DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8082 CRESCENT PARK DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553447",
            "telephone_number": "571-278-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D-SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "KIM-NGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-278-2096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0401414229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Preferred Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.