Happy Smiles of Port Saint Lucie

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HAPPY SMILES OF PORT SAINT LUCIE

Practice address

2675 Winkler Ave Ste 450
Fort Myers, FL 33901-9329

Phone

(561) 241-7656

NPI assigned

Dec 16, 2018

Organization subpart

Yes

Parent organization

HAPPY SMILES OF PORT SAINT LUCIEAs reported in NPPES

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

Authorized official

Name

Marianna ZadovNPI 1104903301

Title

Owner

Phone

(561) 305-2958

Specialties & licenses 1

Addresses

Other names 1

• Happy Smiles of Fort Myers Doing business as

Tax ID family

Happy Smiles of Port Saint Lucie2 organizations share this tax ID, including this one

Part of

Happy Smiles of Port Saint Lucie

Other organizations with this tax ID 1

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

• Happy Smiles of Port Saint Lucie

  • Dentist
  • Port Saint Lucie, FL
  • NPI 1962862805
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Happy Smiles of Port Saint Lucie

  • Dentist
  • Port Saint Lucie, FL
  • NPI 1962862805
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marianna Zadov, DDS

  • Dentist
  • Boca Raton, FL
  • NPI 1104903301
  NPD Authorized official

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1831660026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962660",
            "telephone_number": "561-241-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE STE 450",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019329",
            "telephone_number": "561-241-7656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Military Trl Ste 210",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334587040",
            "country_code": "US",
            "telephone_number": "561-241-7656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAPPY SMILES OF PORT SAINT LUCIE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAPPY SMILES OF PORT SAINT LUCIE",
        "enumeration_date": "2018-12-16",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "ZADOV",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-305-2958"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Smiles of Fort Myers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Lynn Hanson, BACB
• Randal Linn Hanson, O.D.
• Happy Camper Speech Therapy LLC
• Happy Family Adult Day Care, Corp.
• Happy Place Adc Inc
• Alexandra Shae Harbin
• Harbor Wellness Center
• Brian Timothy Harcourt, DC FACO
• Maxwell Hardack
• Kirsten Marie Harder

• General Practice Dentistry in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.