Kinder Smile Foundation

Primary specialty

DentistTaxonomy code 122300000X

License

NJEI17834 Issued in NJ

Legal business name

KINDER SMILE FOUNDATION

Practice address

248 Lorraine Ave -
Suite #12
Upper Montclair, NJ 07043

Phone

(973) 744-7003

Fax

(973) 744-7008

NPI assigned

Mar 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Mae McGrath, D.D.S -

Title

President

Phone

(973) 744-7003

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Kinder Smile Foundation2 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.

• Kindersmile Community Oral Health Center

  • Health Maintenance Organization
  • Bloomfield, NJ
  • NPI 1497106090
  NPD tax ID

Locations

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1629310537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 43119",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "07043",
            "telephone_number": "973-744-7003",
            "fax_number": "973-744-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 LORRAINE AVE -",
            "address_2": "SUITE #12",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "07043",
            "telephone_number": "973-744-7003",
            "fax_number": "973-744-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDER SMILE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-744-7003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S -"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "NJEI17834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6204601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Ellen Jones, LCSW
• Mary Kalazan, LPC
• Kathleen Little Psychotherapy LLC
• Sara Keating
• Beatrice Renata Keseru, L.A.C.
• Branka Kurta, LCSW
• Sabine Labonne, LM, CPM
• Michelle Lago, LSW
• Laurence Rosen LCSW LLC
• Lisa Anne Leidecker, LPC, LCADC

• All providers in Upper Montclair, NJ
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.