Organization Active NPI

I-Smile Dental PC

  • Dentist
  • Trenton, NJ
National Provider Identifier
1669895199
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
I-SMILE DENTAL PC
Practice address
14 N Broad St
Trenton, NJ 08608-1702
Phone
(215) 969-2015
NPI assigned
Feb 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Dmitry KaragodskyNPI 1992909261
Title
DDS
Phone
(215) 969-2015

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

14 N Broad St
Trenton, NJ 08608-1702

Mailing address

11880 Bustleton Ave
Philadelphia, PA 19116-2538
Phone (215) 969-2015

National Provider Directory

National Provider Directory

Locations

14 N Broad St
Trenton, NJ 08608
Phone (215) 969-2015

11880 Bustleton Ave
Philadelphia, PA 19116
Phone (215) 501-2142

Practitioners & affiliated clinicians

Practitioners 1

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": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1669895199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162538",
            "telephone_number": "215-969-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N BROAD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086081702",
            "telephone_number": "215-969-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-SMILE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "KARAGODSKY",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "215-969-2015"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.