NPIMap

Organization Active NPI

Nuclear Smiles LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Columbia, MD
National Provider Identifier
1609412592
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
NUCLEAR SMILES LLC
Practice address
10100 Twin Rivers Rd Apt 121
Columbia, MD 21044-2578
Phone
(301) 538-0719
NPI assigned
Nov 26, 2019
Organization subpart
Yes
Parent organization
THE VILLAGE ORTHODONTISTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Dr. Jon A Moles, DDS
Title
Owner
Phone
(301) 538-0719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

10100 Twin Rivers Rd Apt 121
Columbia, MD 21044-2578

Mailing address

2104 Dixon Rd
Frederick, MD 21704-8135
Phone (301) 538-0719

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@nuclearsmiles.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1609412592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 DIXON RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217048135",
            "telephone_number": "301-538-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 TWIN RIVERS RD APT 121",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442578",
            "telephone_number": "301-538-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCLEAR SMILES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE VILLAGE ORTHODONTIST",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "MOLES",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-538-0719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@nuclearsmiles.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10100 Twin Rivers Rd Apt 121",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210442578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.