Little Smiles Dental of Palm Beach

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN15894 Issued in FL

Legal business name

LITTLE SMILES DENTAL OF PALM BEACH

Practice address

400 Executive Center Dr
Ste 103
West Palm Beach, FL 33401-2917

Phone

(561) 736-8755

Fax

(561) 736-3996

NPI assigned

Oct 29, 2014

Last updated

Oct 29, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

LITTLE SMILES DENTAL OFFICE #1As reported in NPPES

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

Authorized official

Name

Mr. Bayardo Carlos Cortes, DMDNPI 1174604896

Title

Owner/Provider

Phone

(561) 736-8755

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Little Smiles Dental Office 1

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Little Smiles Dental Office #1

  • Dental Clinic/Center
  • Miami Lakes, FL
  • NPI 1154608370
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bayardo Carlos Cortes, DMD

  • Pediatric Dentistry
  • Boynton Beach, FL
  • NPI 1174604896
  Authorized official Same address or phone

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1629473913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EXECUTIVE CENTER DR",
            "address_2": "STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012917",
            "telephone_number": "561-736-8755",
            "fax_number": "561-736-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EXECUTIVE CENTER DR",
            "address_2": "STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012917",
            "telephone_number": "561-736-8755",
            "fax_number": "561-736-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SMILES DENTAL OF PALM BEACH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LITTLE SMILES DENTAL OFFICE #1",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "BAYARDO",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "561-736-8755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN15894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Arthur Litersky, L.M.H.C.
• Nicole Litras
• Little Dreamers Learning Center Inc
• Little Palm Chiropractic, Inc.
• Little Palms Pediatric Speech and Occupational Therapy
• Danielle Littles
• Sergey P Litvinov, M.D.
• Willis Liu, DPT
• Live Circle Clinical Decision Support Center, LLC
• Live Your Life LLC (Live Your Life)

• Pediatric Dentistry in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.