Organization Active NPI

Smile Smile Dental, P.C.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1598047433
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
055737 Issued in NY
Legal business name
SMILE SMILE DENTAL, P.C.
Practice address
630 9TH Ave
New York, NY 10036-3708
Phone
(212) 265-6419
NPI assigned
Sep 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Authorized official

Name
Dr. Gaurav Mahindra, D.D.S.NPI 1891089603
Title
President
Phone
(212) 265-6419

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 055737 NY Primary

Addresses

Primary practice location

630 9TH Ave
New York, NY 10036-3708

Mailing address

630 9TH Ave
New York, NY 10036-3708
Phone (212) 265-6419

National Provider Directory

National Provider Directory

Locations

630 9th Ave
New York, NY 10036
Phone (212) 265-6419

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": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1598047433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363708",
            "telephone_number": "212-265-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363708",
            "telephone_number": "212-265-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SMILE DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "MAHINDRA",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-265-6419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.