Active NPI
Artistic Smile LLC
- Dentist
- Philadelphia, PA
National Provider Identifier
1447869235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- ARTISTIC SMILE LLC
- Practice address
- 2801 Island Ave Ste 5
Philadelphia, PA 19153-2326 - Phone
- (215) 492-0702
- NPI assigned
- Jul 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Irene Mendes
- Title
- Owner
- Phone
- (215) 492-0702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
2801 Island Ave Ste 5
Philadelphia, PA 19153-2326
Mailing address
2801 Island Ave Ste 5
Philadelphia, PA 19153-2326
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bala Cynwyd, PA
- NPI 1437459609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595894400000",
"number": "1447869235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 ISLAND AVE STE 5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191532326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 ISLAND AVE STE 5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191532326",
"telephone_number": "215-492-0702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARTISTIC SMILE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-28",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A",
"authorized_official_last_name": "MENDES",
"authorized_official_first_name": "IRENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-492-0702",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.