Organization Active NPI

Smile by Kyle

Doing business as Brielle Hills Dental

  • Dentist
  • Manasquan, NJ
National Provider Identifier
1689536864
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE BY KYLE
Doing business as
Brielle Hills Dental
Practice address
2640 Route 70 Ste 2D
Manasquan, NJ 08736-2610
Phone
(732) 223-2334
NPI assigned
Nov 26, 2025
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Kenneth Ditmars
Title
Business Manager
Phone
(732) 736-9100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU
Dentist 122300000X NU Primary

Addresses

Primary practice location

2640 Route 70 Ste 2D
Manasquan, NJ 08736-2610

Mailing address

2640 Route 70 Ste 2D
Manasquan, NJ 08736-2610
Phone (732) 223-2334

Other names 1

  • Brielle Hills Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brielle Hills Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2640 Route 70
Ste 2D
Manasquan, NJ 08736
Phone (732) 223-2334

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1689536864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 ROUTE 70 STE 2D",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362610",
            "telephone_number": "732-223-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 ROUTE 70 STE 2D",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362610",
            "telephone_number": "732-223-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE BY KYLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-26",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "DITMARS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "732-736-9100"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brielle Hills Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.