NPIMap

Organization Active NPI

Supersmiles Dental PLLC

Doing business as Supersmiles Pediatric Dentistry II

  • Pediatric Dentistry
  • Astoria, NY
National Provider Identifier
1730951633
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SUPERSMILES DENTAL PLLC
Doing business as
Supersmiles Pediatric Dentistry II
Practice address
2318 31St St Ste 320
Astoria, NY 11105-2765
Phone
(718) 635-3222
NPI assigned
Oct 24, 2023
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Paraskevas Kourtsounis, DDS
Title
Managing Partner
Phone
(631) 451-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

2318 31St St Ste 320
Astoria, NY 11105-2765

Mailing address

2318 31St St Ste 320
Astoria, NY 11105-2765
Phone (718) 635-3222

Other names 1

  • SUPERSMILES PEDIATRIC DENTISTRY II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Supersmiles Dental PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1730951633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 31ST ST STE 320",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052765",
            "telephone_number": "718-635-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 31ST ST STE 320",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111052765",
            "telephone_number": "718-635-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSMILES DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "KOURTSOUNIS",
        "authorized_official_first_name": "PARASKEVAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "631-451-7700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPERSMILES PEDIATRIC DENTISTRY II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.