Organization Active NPI

Smile Zone Dental

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1710517511
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE ZONE DENTAL
Practice address
770 Allerton Ave
Bronx, NY 10467-8879
Phone
(718) 325-5555
Fax
(718) 325-5556
NPI assigned
Jan 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Mrs. Izabella Callahan
Title
Office Manager
Phone
(718) 325-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

770 Allerton Ave
Bronx, NY 10467-8879

Mailing address

770 Allerton Ave
Bronx, NY 10467-8879
Phone (718) 325-5555

National Provider Directory

National Provider Directory

Locations

770 Allerton Ave
Bronx, NY 10467
Phone (718) 231-9500

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1710517511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678879",
            "telephone_number": "718-325-5555",
            "fax_number": "718-325-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 ALLERTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678879",
            "telephone_number": "718-325-5555",
            "fax_number": "718-325-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ZONE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "IZABELLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-325-5555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.