Kaminer Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KAMINER DENTISTRY PLLC

Doing business as

Breezy Point Smiles

Practice address

20408 Rockaway Point Blvd
Breezy Point, NY 11697-1115

Phone

(718) 474-6500

NPI assigned

Oct 10, 2024

Last updated

Oct 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenny Garcia Rocha

Title

Credentialing Sr Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Breezy Point Smiles Doing business as

Tax ID family

Breezy Point Smiles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kaminer Dentistry PLLC

  dba Smiles by Design

  • General Practice Dentistry
  • Hewlett, NY
  • NPI 1538988092
  NPD tax ID

Locations

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1609695162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20408 ROCKAWAY POINT BLVD",
            "city": "BREEZY POINT",
            "state": "NY",
            "postal_code": "116971115",
            "telephone_number": "718-474-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20408 ROCKAWAY POINT BLVD",
            "city": "BREEZY POINT",
            "state": "NY",
            "postal_code": "116971115",
            "telephone_number": "718-474-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMINER DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "GARCIA ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CREDENTIALING SR LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breezy Point Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaclyn C Devlin, MS, CCC-SLP
• Brianne Kathleen Fitzgerald, M.S., CCC-SLP
• Maryellen Gregory Hammill
• Anne Hardick Dacko, MD
• Megan Elizabeth Holihan, MS
• Caroline Ann Kane, OTR/L
• Jonathan Elliott Lewis, DDS
• Life Quality P.T P.C
• Ahmed Fekry Mahmoud, PT
• Kaylyn McDonald

• General Practice Dentistry in Breezy Point, NY
• Providers in Breezy Point, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.