Organization Active NPI

Pretty Smile Co.

  • General Practice Dentistry
  • Flushing, NY
National Provider Identifier
1821236886
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051626 Issued in NY
Legal business name
PRETTY SMILE CO.
Practice address
142-10B Roosevelt Ave.
Suite P23
Flushing, NY 11354
Phone
(718) 886-5474
NPI assigned
Jan 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Dr. CHI Yung Susana Hong
Title
President
Phone
(718) 886-5474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 051626 NY Primary

Addresses

Primary practice location

142-10B Roosevelt Ave.
Suite P23
Flushing, NY 11354

Mailing address

142-10B Roosevelt Ave.
Suite P23
Flushing, NY 11354
Phone (718) 886-5474

National Provider Directory

National Provider Directory

Locations

14210B Roosevelt Ave
Ste P23
Flushing, NY 11354
Phone (718) 886-5474

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1821236886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142-10B ROOSEVELT AVE.",
            "address_2": "SUITE P23",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-886-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142-10B ROOSEVELT AVE.",
            "address_2": "SUITE P23",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-886-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRETTY SMILE CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "CHI YUNG",
        "authorized_official_middle_name": "SUSANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-5474",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.