Organization Active NPI

Smile Frederick LLC

Doing business as Smile Frederick Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Frederick, MD
National Provider Identifier
1407294788
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SMILE FREDERICK LLC
Doing business as
Smile Frederick Orthodontics
Practice address
7360 Guilford Dr
Frederick, MD 21704-5124
Phone
(301) 668-2662
NPI assigned
Jun 10, 2013
Last updated
Jun 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Robert Mansman, DDS
Title
Owner Doctor
Phone
(301) 668-2662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

7360 Guilford Dr
Frederick, MD 21704-5124

Mailing address

7360 Guilford Dr
Frederick, MD 21704-5124

Other names 1

  • Smile Frederick Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

7360 Guilford Dr
Frederick, MD 21704
Phone (240) 408-7872

Practitioners & affiliated clinicians

Practitioners 2

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": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1407294788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 GUILFORD DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 GUILFORD DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045124",
            "telephone_number": "301-668-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE FREDERICK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "MANSMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "301-668-2662",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Frederick Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.