NPIMap

Organization Active NPI

Smile Dental

  • Dental Clinic/Center
  • Lake Balboa, CA
National Provider Identifier
1669193017
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE DENTAL
Practice address
6817 Balboa Blvd Ste a
Lake Balboa, CA 91406-4592
Phone
(818) 786-2040
NPI assigned
Sep 5, 2022
Organization subpart
Yes
Parent organization
ROBERT F NEW III DDS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Dr. Robert Francis New III, DDSNPI 1215318449
Title
Ceo
Phone
(661) 364-2958

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6817 Balboa Blvd Ste a
Lake Balboa, CA 91406-4592

Mailing address

6817 Balboa Blvd Ste a
Lake Balboa, CA 91406-4592
Phone (818) 786-2040

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drrobertnew@smiledentalvannuys.com Direct

National Provider Directory

National Provider Directory
Part of
Smile Dental

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1669193017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 BALBOA BLVD STE A",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914064592",
            "telephone_number": "818-786-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 BALBOA BLVD STE A",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914064592",
            "telephone_number": "818-786-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT F NEW III DDS PC",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "NEW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-364-2958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drrobertnew@smiledentalvannuys.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6817 Balboa Blvd Ste A",
            "city": "Lake Balboa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914064592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Balboa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.