Healthy Smile Dental Arts LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

HEALTHY SMILE DENTAL ARTS LLC

Practice address

3610 Broadway
New York, NY 10031-3240

Phone

(212) 491-6940

NPI assigned

Oct 21, 2022

Organization subpart

No

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

Authorized official

Name

Grecy Martinez, DDSNPI 1447319652

Title

Doctor

Phone

(929) 382-1503

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Grecy Roxanna Martinez, DDS

  • General Practice Dentistry
  • New York, NY
  • NPI 1447319652
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1508583303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100313240",
            "telephone_number": "212-491-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100313240",
            "telephone_number": "212-491-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILE DENTAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "GRECY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "929-382-1503",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Minds LCSW PLLC
• Healthy Minds Nyc Psychiatry PC
• Healthy Minds Psychiatry PC
• Healthy Pharmacy Inc
• Healthy Self Mental Health Counseling Services PLLC
• Healthy Smile Dental Arts P C
• Healthy Smile New York Dentistry LLC
• Healthy Vision Optometry PC
• Healthy Wealthy & Wise Medical PC
• Healthymindsp LLC

• Oral and Maxillofacial Surgery (Dentist) in New York, NY
• Providers in New York, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.