Organization Active NPI

Smile Again Program, PC

  • Pediatric Dentistry
  • Narberth, PA
National Provider Identifier
1821556721
Registry record updated Mar 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SMILE AGAIN PROGRAM, PC
Practice address
450 N Narberth Ave Ste 200
Narberth, PA 19072-1822
Phone
(215) 815-0130
NPI assigned
Mar 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2019

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

Authorized official

Name
Dr. Mark S Goldstein, DDS
Title
Owner
Phone
(215) 815-0130

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

450 N Narberth Ave Ste 200
Narberth, PA 19072-1822

Mailing address

450 N Narberth Ave Ste 200
Narberth, PA 19072-1822
Phone (215) 815-0130

National Provider Directory

National Provider Directory

Locations

450 N Narberth Ave
Ste 200
Narberth, PA 19072
Phone (215) 645-2564

NPI Registry JSON

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

{
    "created_epoch": "1552176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552176000000",
    "number": "1821556721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N NARBERTH AVE STE 200",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721822",
            "telephone_number": "215-815-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N NARBERTH AVE STE 200",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721822",
            "telephone_number": "215-815-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE AGAIN PROGRAM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-10",
        "last_updated": "2019-03-10",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-815-0130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Narberth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2019; 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.