Smile Time Kids, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12010350A Issued in IN

Legal business name

SMILE TIME KIDS, LLC

Practice address

1923 Chester Blvd
Richmond, IN 47374-1212

Phone

(317) 675-6055

NPI assigned

Oct 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michelle H Edwards, DDS

Title

Dentist

Phone

(317) 842-8453

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.

• Monica McKary, DDS

  • General Practice Dentistry
  • Columbia, MO
  • NPI 1568037588
  NPD (past)

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1417327537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741212",
            "telephone_number": "317-675-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741212",
            "telephone_number": "317-675-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE TIME KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-842-8453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12010350A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Slemker, CPO LPO
• Debra Slick
• Ryan Slusser
• Christopher D Smalley, P.A.
• Sydney Jordan Rebecca Smarrelli, RBT
• Aleia Smith
• Bryana Smith, RBT
• Crystal Smith
• David W Smith, M.D.
• Donald G. Smith Jr., MD

• Dental Clinic/Center in Richmond, IN
• Providers in Richmond, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.