71St Street Smiles PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

71ST STREET SMILES PLLC

Practice address

145 West 71St Street
#16
Ny, NY 10023

Phone

(212) 579-0552

Fax

(212) 579-6203

NPI assigned

Feb 23, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Johanna Jacobs, DDS

Title

Dentist

Phone

(212) 579-0552

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1578157327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 WEST 71ST STREET",
            "address_2": "#16",
            "city": "NY",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-579-0552",
            "fax_number": "212-579-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WEST 71ST STREET",
            "address_2": "#16",
            "city": "NY",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "212-579-0552",
            "fax_number": "212-579-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "71ST STREET SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-579-0552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Ny, NY
• Providers in Ny, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.