Organization Active NPI

Smile Dental Studio

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1851958300
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE DENTAL STUDIO
Practice address
10209 N 35TH Ave Ste 129
Phoenix, AZ 85051-9619
Phone
(602) 789-1131
NPI assigned
May 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Authorized official

Name
Dr. Manpreet Badyal, DDS
Title
Dentist
Phone
(602) 789-1131

Specialties & licenses 1

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

Addresses

Primary practice location

10209 N 35TH Ave Ste 129
Phoenix, AZ 85051-9619

Mailing address

10209 N 35TH Ave Ste 129
Phoenix, AZ 85051-9619
Phone (602) 789-1131

National Provider Directory

National Provider Directory

Locations

10209 N 35th Ave
Ste 129
Phoenix, AZ 85051
Phone (602) 789-1131

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1851958300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10209 N 35TH AVE STE 129",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519619",
            "telephone_number": "602-789-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 N 35TH AVE STE 129",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519619",
            "telephone_number": "602-789-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "BADYAL",
        "authorized_official_first_name": "MANPREET",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "602-789-1131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.