NPIMap

Organization Active NPI

Smiles4Kids Pediatric Dentistry

  • Pediatric Dentistry
  • Cincinnati, OH
National Provider Identifier
1902991425
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
OH 30-20266 Issued in OH
Legal business name
SMILES4KIDS PEDIATRIC DENTISTRY
Practice address
11350 Springfield Pike
Cincinnati, OH 45246-4202
Phone
(513) 771-5231
Fax
(513) 771-5109
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Dr. Cindy R Pong, DDS
Title
President
Phone
(513) 771-5231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X OH 30-20266 OH Primary

Addresses

Primary practice location

11350 Springfield Pike
Cincinnati, OH 45246-4202

Mailing address

11350 Springfield Pike
Cincinnati, OH 45246-4202
Phone (513) 771-5231

Other names 1

  • Cindy R. Pong, DDS & Trisha R. McNamara, DDS Doing business as

National Provider Directory

National Provider Directory

Locations

11350 Springfield Pike
Cincinnati, OH 45246
Phone (513) 771-5231

Practitioners & affiliated clinicians

Practitioners 3

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1902991425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464202",
            "telephone_number": "513-771-5231",
            "fax_number": "513-771-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464202",
            "telephone_number": "513-771-5231",
            "fax_number": "513-771-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES4KIDS PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "PONG",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-771-5231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "OH 30-20266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cindy R. Pong, DDS & Trisha R. McNamara, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

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