Dr. Smaili 'Smiley' Dental Group of California, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

59418 Issued in CA

Legal business name

DR. SMAILI 'SMILEY' DENTAL GROUP OF CALIFORNIA, INC.

Practice address

9025 Wilshire Blvd
Suite 411
Beverly Hills, CA 90211-1831

Phone

(310) 432-4202

Fax

(310) 855-5010

NPI assigned

Nov 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Tarick Kamal Smaili, MD

Title

Owner

Phone

(310) 490-6145

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1407285729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD",
            "address_2": "SUITE 411",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111831",
            "telephone_number": "310-432-4202",
            "fax_number": "310-855-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD",
            "address_2": "SUITE 411",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111831",
            "telephone_number": "310-432-4202",
            "fax_number": "310-855-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SMAILI 'SMILEY' DENTAL GROUP OF CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "SMAILI",
        "authorized_official_first_name": "TARICK",
        "authorized_official_middle_name": "KAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-490-6145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59418",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.