Active NPI
Veronika Smilak, MSCGC
- Specialist
- Los Angeles, CA
National Provider Identifier
1417138280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 5300 McConnell Ave
Los Angeles, CA 90066-7026 - Phone
- (800) 426-6467
- Fax
- (310) 482-5600
- NPI assigned
- Nov 20, 2007
- Last updated
- Nov 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | CA | Primary |
Addresses
Primary practice location
5300 McConnell Ave
Los Angeles, CA 90066-7026
Mailing address
5300 McConnell Ave
Los Angeles, CA 90066-7026
Phone (800) 426-6467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170300000X | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1417138280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 MCCONNELL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900667026",
"telephone_number": "800-426-6467",
"fax_number": "310-482-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 MCCONNELL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900667026",
"telephone_number": "800-426-6467",
"fax_number": "310-482-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMILAK",
"first_name": "VERONIKA",
"name_prefix": "Mrs.",
"credential": "MSCGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-20",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Smile Pediatric Therapy & Diagnostics
- Smile Pediatric Therapy and Diagnostics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.