Active NPI
Dentismiles, LLC
- General Practice Dentistry
- Union City, NJ
National Provider Identifier
1710296249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02261701
- Legal business name
- DENTISMILES, LLC
- Practice address
- 2200 New York Ave
Union City, NJ 07087-4502 - Phone
- (201) 863-0426
- Fax
- (201) 758-5566
- NPI assigned
- Oct 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ismari Enedina Labrada, D.D.S
- Title
- Sole Member
- Phone
- (201) 863-0426
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02261701 | NJ | Primary |
Addresses
Primary practice location
2200 New York Ave
Union City, NJ 07087-4502
Mailing address
2200 New York Ave
Union City, NJ 07087-4502
Phone (201) 863-0426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0066443 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
2200 New York Ave
Union City, NJ 07087
Phone (201) 863-0426
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Public Health Dentistry
- Union City, NJ
- NPI 1982659975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424995200000",
"number": "1710296249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 NEW YORK AVE",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070874502",
"telephone_number": "201-863-0426",
"fax_number": "201-758-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NEW YORK AVE",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070874502",
"telephone_number": "201-863-0426",
"fax_number": "201-758-5566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTISMILES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-01",
"last_updated": "2015-02-27",
"status": "A",
"authorized_official_last_name": "LABRADA",
"authorized_official_first_name": "ISMARI",
"authorized_official_middle_name": "ENEDINA",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "201-863-0426",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02261701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0066443",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.