Kids and Adult Smiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIDS AND ADULT SMILES

Practice address

125 East Pleasant Valley Blvd.
Altoona, PA 16602-5544

Phone

(814) 942-4699

Fax

(814) 942-4587

NPI assigned

Aug 17, 2011

Organization subpart

Yes

Parent organization

KIDS AND ADULT SMILESAs reported in NPPES

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

Authorized official

Name

Peng Cheng, DMD

Title

Owner/Dentist

Phone

(814) 942-4699

Specialties & licenses 1

Addresses

Other names 1

• Dent-Al Smiles of Altoona Doing business as

Part of

Kids and Adult Smiles

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1477833895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EAST PLEASANT VALLEY BLVD.",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025544",
            "telephone_number": "814-942-4699",
            "fax_number": "814-942-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAST PLEASANT VALLEY BLVD.",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025544",
            "telephone_number": "814-942-4699",
            "fax_number": "814-942-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS AND ADULT SMILES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDS AND ADULT SMILES",
        "enumeration_date": "2011-08-17",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "PENG",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "814-942-4699",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dent-Al Smiles of Altoona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kokab Khan
• Maksim Yuryevich Khayznikov, M.D.
• Ziad Khoury, M.D.
• Morgan H Kianka, LAPC
• Allison Kick
• Ronald Kihm, MD
• Malika Prasad Kile, MD
• Eunkyung Kim, RN
• Caitlin Ann Kimberly Baker, PA
• Kara E. Kimberly, MD

• All providers in Altoona, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.