NPIMap

Organization Active NPI

Healthy Smiles Family Dentistry LLC

  • General Practice Dentistry
  • Westminster, MD
National Provider Identifier
1427418326
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14577 Issued in MD
Legal business name
HEALTHY SMILES FAMILY DENTISTRY LLC
Practice address
250 Englar Rd
Suite #6
Westminster, MD 21157-2929
Phone
(410) 848-5333
NPI assigned
Mar 4, 2016
Last updated
Mar 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Farah IlyasNPI 1104056621
Title
Owner
Phone
(443) 745-0442

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14577 MD Primary

Addresses

Primary practice location

250 Englar Rd
Suite #6
Westminster, MD 21157-2929

Mailing address

13518 Mitchells Way
West Friendship, MD 21794-9405

National Provider Directory

National Provider Directory

Locations

250 Englar Rd
Ste 6
Westminster, MD 21157
Phone (410) 848-5333

Practitioners & affiliated clinicians

Practitioners 1

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": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1427418326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13518 MITCHELLS WAY",
            "city": "WEST FRIENDSHIP",
            "state": "MD",
            "postal_code": "217949405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ENGLAR RD",
            "address_2": "SUITE #6",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211572929",
            "telephone_number": "410-848-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "ILYAS",
        "authorized_official_first_name": "FARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-745-0442"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.