NPIMap

Organization Active NPI

Supersmiles Dental PLLC

Doing business as All About Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • Commack, NY
National Provider Identifier
1457940322
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SUPERSMILES DENTAL PLLC
Doing business as
All About Smiles Pediatric Dentistry
Supersmiles Pediatric Dentistry I
Practice address
5036 Jericho Tpke
Commack, NY 11725-2812
Phone
(631) 486-6220
NPI assigned
Jan 14, 2021
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Paraskevas Kourtsounis
Title
President
Phone
(631) 451-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5036 Jericho Tpke
Commack, NY 11725-2812

Mailing address

5036 Jericho Tpke Ste 307
Commack, NY 11725-2812
Phone (631) 486-6220

Other names 2

  • ALL ABOUT SMILES PEDIATRIC DENTISTRY Doing business as
  • SUPERSMILES PEDIATRIC DENTISTRY I Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Supersmiles Dental PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 Portion Rd
Ronkonkoma, NY 11779
Phone (631) 588-1199

500 Portion Rd
Ste 216
Ronkonkoma, NY 11779
Phone (631) 451-7700

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1457940322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 JERICHO TPKE STE 307",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252812",
            "telephone_number": "631-486-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5036 JERICHO TPKE",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252812",
            "telephone_number": "631-486-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSMILES DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "KOURTSOUNIS",
        "authorized_official_first_name": "PARASKEVAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-451-7700"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALL ABOUT SMILES PEDIATRIC DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUPERSMILES PEDIATRIC DENTISTRY I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.