Organization Active NPI

Smiling Team Corp

  • Dental Clinic/Center
  • Sunrise, FL
National Provider Identifier
1508578576
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILING TEAM CORP
Practice address
14201 W Sunrise Blvd Ste 106
Sunrise, FL 33323-3207
Phone
(954) 652-1504
NPI assigned
Dec 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Gennys N Russo de Romero, DDSNPI 1821626094
Title
President
Phone
(954) 655-6413

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

14201 W Sunrise Blvd Ste 106
Sunrise, FL 33323-3207

Mailing address

14201 W Sunrise Blvd Ste 106
Sunrise, FL 33323-3207
Phone (954) 652-1504

Other identifiers 1

IdentifierTypeStateIssuer
1821626094OtherFLDENTIST NPI

Other names 1

  • Smiling Team Corp Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL contact@smlng.com Direct

National Provider Directory

National Provider Directory

Locations

14201 W Sunrise Blvd
Ste 106
Sunrise, FL 33323
Phone (954) 652-1504

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1508578576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD STE 106",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-652-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 W SUNRISE BLVD STE 106",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233207",
            "telephone_number": "954-652-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILING TEAM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "RUSSO DE ROMERO",
        "authorized_official_first_name": "GENNYS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-655-6413",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST NPI",
            "identifier": "1821626094",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "contact@smlng.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14201 W Sunrise Blvd Ste 106",
            "city": "Sunrise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333233207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Smiling Team Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.