Organization Active NPI

Simple Smiles LLC

  • Dental Clinic/Center
  • Paterson, NJ
National Provider Identifier
1427338656
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
19084 Issued in NJ
Legal business name
SIMPLE SMILES LLC
Practice address
630 11TH Ave
Paterson, NJ 07514-1334
Phone
(973) 977-8181
Fax
(973) 977-8500
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Dr. Carlos Rojas, DDSNPI 1619194875
Title
Dentist
Phone
(973) 977-8181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 19084 NJ Primary

Addresses

Primary practice location

630 11TH Ave
Paterson, NJ 07514-1334

Mailing address

630 11TH Ave
Paterson, NJ 07514-1334
Phone (973) 977-8181

National Provider Directory

National Provider Directory

Locations

630 11th Ave
Paterson, NJ 07514
Phone (973) 977-8181

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1427338656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 11TH AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141334",
            "telephone_number": "973-977-8181",
            "fax_number": "973-977-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 11TH AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141334",
            "telephone_number": "973-977-8181",
            "fax_number": "973-977-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-977-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "19084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.