NPIMap

Organization Active NPI

Perfect Smile Braces, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bronx, NY
National Provider Identifier
1841689205
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
055755 Issued in NY
Legal business name
PERFECT SMILE BRACES, P.C.
Practice address
555 E Fordham Rd
Bronx, NY 10458
Phone
(347) 801-8888
Fax
(347) 801-8888
NPI assigned
Jan 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Emil Bailey, DMDNPI 1790041523
Title
President/Owner
Phone
(347) 801-8888

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 055755 NY Primary

Addresses

Primary practice location

555 E Fordham Rd
Bronx, NY 10458

Mailing address

555 E Fordham Rd
Bronx, NY 10458-5046
Phone (347) 801-8888

Other practice location 1

468 E Fordham Rd
Bronx, NY 10458-5108
Phone (347) 801-8888

Other practice location 2

188 Dyckman St
New York, NY 10040-1004
Phone (347) 801-8888

Other names 1

  • Perfect Smile Braces Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Perfect Smile Braces2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

555 E Fordham Rd
Bronx, NY 10458
Phone (347) 801-8888

Practitioners & affiliated clinicians

Practitioners 2

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": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1841689205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585046",
            "telephone_number": "347-801-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "347-801-8888",
            "fax_number": "347-801-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "468 E Fordham Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104585108",
            "country_code": "US",
            "telephone_number": "347-801-8888",
            "fax_number": "347-801-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 Dyckman St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100401004",
            "country_code": "US",
            "telephone_number": "347-801-8888",
            "fax_number": "347-801-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERFECT SMILE BRACES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "EMIL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "347-801-8888",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "055755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Smile Braces",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perfect Smile Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.