Active NPI
Smile Dental Nyc P.C.
- Dental Clinic/Center
- Woodside, NY
National Provider Identifier
1558226449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SMILE DENTAL NYC P.C.
- Practice address
- 5314 Roosevelt Ave FL 2
Woodside, NY 11377-4239 - Phone
- (347) 388-5715
- NPI assigned
- Dec 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heriberto Caraballo Ruiz
- Title
- General Manager
- Phone
- (347) 388-5715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
5314 Roosevelt Ave FL 2
Woodside, NY 11377-4239
Mailing address
5314 Roosevelt Ave FL 2
Woodside, NY 11377-4239
Phone (347) 388-5715
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766534400000",
"number": "1558226449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5314 ROOSEVELT AVE FL 2",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774239",
"telephone_number": "347-388-5715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5314 ROOSEVELT AVE FL 2",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774239",
"telephone_number": "347-388-5715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE DENTAL NYC P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-22",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A",
"authorized_official_last_name": "CARABALLO RUIZ",
"authorized_official_first_name": "HERIBERTO",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "347-388-5715"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.