Growing Smiles Pediatric Dentistry PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12011775A Issued in IN

Legal business name

GROWING SMILES PEDIATRIC DENTISTRY PC

Practice address

1111 Cumberland Xing
Valparaiso, IN 46383-2356

Phone

(219) 286-6148

Fax

(219) 286-6149

NPI assigned

Jun 18, 2014

Last updated

Jun 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carisse M Corns, D.D.SNPI 1366679789

Title

President

Phone

(213) 500-6789

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, and the practitioner matching its NPPES authorized official.

• Carisse Corns, DDS

  • Pediatric Dentistry
  • Valparaiso, IN
  • NPI 1366679789
  NPD (past) Authorized official

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1447664404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CUMBERLAND XING",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832356",
            "telephone_number": "219-286-6148",
            "fax_number": "219-286-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CUMBERLAND XING",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832356",
            "telephone_number": "219-286-6148",
            "fax_number": "219-286-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING SMILES PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "CORNS",
        "authorized_official_first_name": "CARISSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-500-6789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12011775A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Ann Greer
• Savannah Griffin
• Rebecca Gronski, PTA
• Irene M Grosdanis, LCSW
• Juliana Grove, O.D.
• Ashley L Grumbine, NP-C
• Grundy Podiatry LLC
• Cynthia Lembcke Grundy, DPM
• Reejee Nisnisan Guanzon, OTR
• Tyrone Orland Cardenas Guarin, P.T.

• Pediatric Dentistry in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.