Organization Active NPI

I Smile Dental Care Services

  • Dentist
  • Jackson Heights, NY
National Provider Identifier
1669739363
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052701 Issued in NY
Legal business name
I SMILE DENTAL CARE SERVICES
Practice address
8418 37TH Ave
Jackson Heights, NY 11372-7339
Phone
(718) 426-3000
Fax
(718) 426-3002
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Dr. Rosette Imani, DDS
Title
Dr
Phone
(718) 426-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 052701 NY Primary

Addresses

Primary practice location

8418 37TH Ave
Jackson Heights, NY 11372-7339

Mailing address

8418 37TH Ave
Jackson Heights, NY 11372-7339
Phone (718) 426-3000

Other identifiers 1

IdentifierTypeStateIssuer
03232054MedicaidNY

Other names 1

  • I SMILE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

8418 37th Ave
Jackson Heights, NY 11372
Phone (718) 426-3000

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": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1669739363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8418 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727339",
            "telephone_number": "718-426-3000",
            "fax_number": "718-426-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8418 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727339",
            "telephone_number": "718-426-3000",
            "fax_number": "718-426-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I SMILE DENTAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "IMANI",
        "authorized_official_first_name": "ROSETTE",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "718-426-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "052701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03232054",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I SMILE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.