NPIMap

Organization Active NPI

Smile in Style Dental PLLC

  • Dentist
  • Bellerose, NY
National Provider Identifier
1699047886
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052022-1 Issued in NY
Legal business name
SMILE IN STYLE DENTAL PLLC
Practice address
24709A Union Tpke
Bellerose, NY 11426-1846
Phone
(718) 506-9330
Fax
(718) 506-3158
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Dr. Irina Shamalova, DDS
Title
Dentist
Phone
(718) 506-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 052022-1 NY Primary

Addresses

Primary practice location

24709A Union Tpke
Bellerose, NY 11426-1846

Mailing address

24709A Union Tpke
Bellerose, NY 11426-1846
Phone (718) 506-9330

National Provider Directory

National Provider Directory

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": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1699047886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24709A UNION TPKE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261846",
            "telephone_number": "718-506-9330",
            "fax_number": "718-506-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24709A UNION TPKE",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114261846",
            "telephone_number": "718-506-9330",
            "fax_number": "718-506-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE IN STYLE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "SHAMALOVA",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-506-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "052022-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.