NPIMap

Organization Active NPI

Kids and Adult Smiles

Doing business as Dent-Al Smiles of Altoona

  • General Practice Dentistry
  • Altoona, PA
National Provider Identifier
1477833895
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KIDS AND ADULT SMILES
Doing business as
Dent-Al Smiles of Altoona
Practice address
125 East Pleasant Valley Blvd.
Altoona, PA 16602-5544
Phone
(814) 942-4699
Fax
(814) 942-4587
NPI assigned
Aug 17, 2011
Last updated
Nov 12, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
KIDS AND ADULT SMILESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Peng Cheng, DMDNPI 1487971735
Title
Owner/Dentist
Phone
(814) 942-4699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X PA Primary

Addresses

Primary practice location

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

Mailing address

125 East Pleasant Valley Blvd.
Altoona, PA 16602-5544
Phone (814) 942-4699

Other names 1

  • Dent-Al Smiles of Altoona Doing business as

National Provider Directory

National Provider Directory
Part of
Kids and Adult Smiles

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

  • 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.