Organization Active NPI

Dentismiles, LLC

  • General Practice Dentistry
  • Union City, NJ
National Provider Identifier
1710296249
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02261701 Issued in NJ
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

Updated by the provider on Feb 27, 2015

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.SNPI 1982659975
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0066443MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.