NPIMap

Organization Active NPI

Smile Team PC

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1750888673
Registry record updated Feb 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE TEAM PC
Practice address
1500 JFK Blvd Ste 1906
Philadelphia, PA 19102-1714
Phone
(732) 789-3811
NPI assigned
Apr 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2021

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

Authorized official

Name
Dr. Bansi Mithani Doescher, DMD
Title
Dentist
Phone
(732) 789-3811

Specialties & licenses 1

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

Addresses

Primary practice location

1500 JFK Blvd Ste 1906
Philadelphia, PA 19102-1714

Mailing address

19 Simsbury Dr
Voorhees, NJ 08043-3948
Phone (732) 789-3811

National Provider Directory

National Provider Directory
Tax ID family
Smile Team PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1523059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613865600000",
    "number": "1750888673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SIMSBURY DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433948",
            "telephone_number": "732-789-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 JFK BLVD STE 1906",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021714",
            "telephone_number": "732-789-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE TEAM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-07",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A",
        "authorized_official_last_name": "DOESCHER",
        "authorized_official_first_name": "BANSI",
        "authorized_official_middle_name": "MITHANI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-789-3811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "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 Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; 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.