Active NPI
Smiles R US PC
- General Practice Dentistry
- Baltimore, MD
National Provider Identifier
1659619096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14116
- Legal business name
- SMILES R US PC
- Practice address
- 5450 Reisterstown Rd
Baltimore, MD 21215-4434 - Phone
- (443) 621-2971
- NPI assigned
- Jan 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saman Radpravar
- Title
- President
- Phone
- (443) 621-2971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14116 | MD | Primary |
Addresses
Primary practice location
5450 Reisterstown Rd
Baltimore, MD 21215-4434
Mailing address
6521 Gardenwick Rd
Baltimore, MD 21209-2537
National Provider Directory
National Provider DirectoryLocations
5450 Reisterstown Rd
Baltimore, MD 21215
Phone (240) 893-5051
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Baltimore, MD
- NPI 1558526087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358467200000",
"number": "1659619096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6521 GARDENWICK RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212092537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 REISTERSTOWN RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212154434",
"telephone_number": "443-621-2971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILES R US PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-18",
"last_updated": "2013-01-18",
"status": "A",
"authorized_official_last_name": "RADPRAVAR",
"authorized_official_first_name": "SAMAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "443-621-2971"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "14116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.