Organization Active NPI

Wong & Smolnicky P C

  • General Practice Dentistry
  • Valparaiso, IN
National Provider Identifier
1487633327
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008756 Issued in IN
Legal business name
WONG & SMOLNICKY P C
Practice address
1751 Thornapple Cir
Valparaiso, IN 46385-6164
Phone
(219) 464-1141
Fax
(219) 923-8873
NPI assigned
Jan 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John E. Smolnicky, D. D. S.NPI 1508010042
Title
President & Co Owner
Phone
(219) 464-1141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12008756 IN Primary

Addresses

Primary practice location

1751 Thornapple Cir
Valparaiso, IN 46385-6164

Mailing address

1751 Thornapple Cir
Valparaiso, IN 46385-6164
Phone (219) 464-1141

National Provider Directory

National Provider Directory
Tax ID family
Wong Smolnicky P C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1751 Thornapple Cir
Valparaiso, IN 46385
Phone (219) 464-1141

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": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487633327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 THORNAPPLE CIR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463856164",
            "telephone_number": "219-464-1141",
            "fax_number": "219-923-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 THORNAPPLE CIR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463856164",
            "telephone_number": "219-464-1141",
            "fax_number": "219-923-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONG & SMOLNICKY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMOLNICKY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT & CO OWNER",
        "authorized_official_telephone_number": "219-464-1141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. D. S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.