NPIMap

Organization Active NPI

Kiddsmiles PLLC

  • Pediatric Dentistry
  • North Babylon, NY
National Provider Identifier
1861882201
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KIDDSMILES PLLC
Practice address
1476 Deer Park Ave Ste 2
North Babylon, NY 11703-1200
Phone
(631) 254-5437
Fax
(631) 940-5943
NPI assigned
Jan 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Mrs. Dana Hutter
Title
Insurance Coordinator
Phone
(631) 576-4254

Specialties & licenses 1

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

Addresses

Primary practice location

1476 Deer Park Ave Ste 2
North Babylon, NY 11703-1200

Mailing address

1476 Deer Park Ave Ste 2
North Babylon, NY 11703-1200
Phone (631) 254-5437

Other names 1

  • Kiddsmiles PLLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1861882201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 DEER PARK AVE STE 2",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031200",
            "telephone_number": "631-254-5437",
            "fax_number": "631-940-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 DEER PARK AVE STE 2",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031200",
            "telephone_number": "631-254-5437",
            "fax_number": "631-940-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDSMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "HUTTER",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "631-576-4254",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiddsmiles PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.