Organization Active NPI

Everett Smiles Pediatric Dentistry and Orthodontics PC

  • Pediatric Dentistry
  • Everett, MA
National Provider Identifier
1700538568
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
EVERETT SMILES PEDIATRIC DENTISTRY AND ORTHODONTICS PC
Practice address
11 Victoria St
Everett, MA 02149-3511
Phone
(617) 889-5437
NPI assigned
Jan 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Dr. Vandana Soni, DMDNPI 1922033208
Title
Director
Phone
(617) 889-5437

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

11 Victoria St
Everett, MA 02149-3511

Mailing address

534 Commonwealth Ave Apt 4a
Boston, MA 02215-2604
Phone (617) 501-7773

National Provider Directory

National Provider Directory

Locations

11 Victoria St
Everett, MA 02149
Phone (617) 889-5437

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": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1700538568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 COMMONWEALTH AVE APT 4A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152604",
            "telephone_number": "617-501-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 VICTORIA ST",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493511",
            "telephone_number": "617-889-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT SMILES PEDIATRIC DENTISTRY AND ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "SONI",
        "authorized_official_first_name": "VANDANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-889-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.