Smile Teledentistry

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

SMILE TELEDENTISTRY

Practice address

9550 Heatherbrook PL
Rancho Cucamonga, CA 91730-7910

Phone

(412) 596-7203

NPI assigned

Jun 13, 2022

Organization subpart

No

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

Authorized official

Name

Jaskiren Jit Gill

Title

Founder

Phone

(412) 596-7203

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1457081598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 AUBURN BLVD STE C",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 HEATHERBROOK PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307910",
            "telephone_number": "412-596-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE TELEDENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "JASKIREN",
        "authorized_official_middle_name": "JIT",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "412-596-7203"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "Y8343349",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "emailaddress",
            "affiliation": "N",
            "endpointDescription": "Jaskiren@proton.me",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9550 Heatherbrook Pl",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917307910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.