Sure Smile, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

053281-1 Issued in NY

Legal business name

SURE SMILE, LLC

Practice address

1075 Central Park Avenue, Suite #104
Apple Bank Plaza
Scarsdale, NY 10583

Phone

(914) 472-9400

Fax

(914) 723-1160

NPI assigned

Feb 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ahmed Kheir, DMD

Title

Dr.

Phone

(914) 472-9400

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Mona Omran, DDS

  • Public Health Dentistry
  • Scarsdale, NY
  • NPI 1841424496
  NPD (past)

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1669704813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVENUE, SUITE #104",
            "address_2": "APPLE BANK PLAZA",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "10583",
            "telephone_number": "914-472-9400",
            "fax_number": "914-723-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVENUE, SUITE #104",
            "address_2": "APPLE BANK PLAZA",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "10583",
            "telephone_number": "914-472-9400",
            "fax_number": "914-723-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURE SMILE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "KHEIR",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "914-472-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036832",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "053281-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396890752",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mia M Strum, PHARM D
• Lara Sugatan, M.S., CCC-SLP, TSSLD
• Jeff Suh, D.D.S., M.P.H.
• Deborah Summer, OTR/L
• Kyung Eun Sung, DDS
• Harold I. Sussman, DDS, MSD
• Jeffrey Bruce Sussman, PSY.D.
• Hetal Sutaria
• Ira Sutton, MD
• Marilyn W Sutton, MD

• Dentist in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.