NPIMap

Organization Active NPI

Kindersmile Community Oral Health Center

  • Health Maintenance Organization
  • Bloomfield, NJ
National Provider Identifier
1497106090
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
NJ I17834 Issued in NJ
Legal business name
KINDERSMILE COMMUNITY ORAL HEALTH CENTER
Practice address
10 Broad St
Bloomfield, NJ 07003-2524
Phone
(973) 744-7003
NPI assigned
Jun 24, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Dr. Nicole McGrath, D.D.SNPI 1811155138
Title
Founder
Phone
(973) 744-7003

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
Health Maintenance Organization 302R00000X NJ I17834 NJ Primary

Addresses

Primary practice location

10 Broad St
Bloomfield, NJ 07003-2524

Mailing address

10 Broad St
Bloomfield, NJ 07003-2524
Phone (973) 744-7003

National Provider Directory

National Provider Directory
Tax ID family
Kinder Smile Foundation2 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.

Practitioners & affiliated clinicians

Practitioners 7

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": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1497106090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032524",
            "telephone_number": "973-744-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032524",
            "telephone_number": "973-744-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDERSMILE COMMUNITY ORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "973-744-7003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NJ",
            "license": "NJ I17834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.