Organization Active NPI

Summit Smiles PLLC

  • Dental Clinic/Center
  • Pocono Summit, PA
National Provider Identifier
1487131587
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SUMMIT SMILES PLLC
Practice address
2633 PA-940
Pocono Summit, PA 18346
Phone
(570) 972-2785
NPI assigned
Jul 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Dr. Stephaine Childs, DMD
Title
Dentist
Phone
(570) 972-2785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2633 PA-940
Pocono Summit, PA 18346

Mailing address

PO Box 1149
Pocono Summit, PA 18346-1149
Phone (570) 972-2785

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1487131587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1149",
            "city": "POCONO SUMMIT",
            "state": "PA",
            "postal_code": "183461149",
            "telephone_number": "570-972-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 PA-940",
            "city": "POCONO SUMMIT",
            "state": "PA",
            "postal_code": "18346",
            "telephone_number": "570-972-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "STEPHAINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "570-972-2785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocono Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.