Organization Active NPI

Friendly Smiles Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gap, PA
National Provider Identifier
1730550229
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS039407 Issued in PA
Legal business name
FRIENDLY SMILES ORTHODONTICS LLC
Practice address
91 Newport Pike
Suite 304
Gap, PA 17527
Phone
(717) 442-3639
Fax
(717) 442-4241
NPI assigned
Oct 9, 2015
Last updated
Oct 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Dr. Man Yee Chan, D.M.D.NPI 1265741177
Title
Sole Member
Phone
(717) 442-3639

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS039407 PA Primary

Addresses

Primary practice location

91 Newport Pike
Suite 304
Gap, PA 17527

Mailing address

91 Newport Pike
Suite 304
Gap, PA 17527
Phone (717) 442-3639

National Provider Directory

National Provider Directory

Locations

91 Newport Rd
Ste 304
Gap, PA 17527
Phone (717) 442-3639

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1730550229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 NEWPORT PIKE",
            "address_2": "SUITE 304",
            "city": "GAP",
            "state": "PA",
            "postal_code": "17527",
            "telephone_number": "717-442-3639",
            "fax_number": "717-442-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 NEWPORT PIKE",
            "address_2": "SUITE 304",
            "city": "GAP",
            "state": "PA",
            "postal_code": "17527",
            "telephone_number": "717-442-3639",
            "fax_number": "717-442-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY SMILES ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MAN YEE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "717-442-3639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS039407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gap, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.