NPIMap

Organization Active NPI

My Smile Experience P.C.

  • Dentist
  • Salem, NH
National Provider Identifier
1811537665
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MY SMILE EXPERIENCE P.C.
Practice address
99 Rockingham Park Blvd # W111B
Salem, NH 03079-2900
Phone
(603) 485-0024
NPI assigned
Jan 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Dr. Judley Alphonse, DMDNPI 1265070965
Title
President
Phone
(603) 485-0024

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

99 Rockingham Park Blvd # W111B
Salem, NH 03079-2900

Mailing address

99 Rockingham Park Blvd # W111B
Salem, NH 03079-2900
Phone (603) 485-0024

Other names 1

  • My Smile Experience Doing business as

National Provider Directory

National Provider Directory

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": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1811537665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ROCKINGHAM PARK BLVD # W111B",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792900",
            "telephone_number": "603-485-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 ROCKINGHAM PARK BLVD # W111B",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792900",
            "telephone_number": "603-485-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SMILE EXPERIENCE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "ALPHONSE",
        "authorized_official_first_name": "JUDLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-485-0024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Smile Experience",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, NH

Sources for this page

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