Organization Active NPI

New Smiles Kids Dentistry

  • Dental Clinic/Center
  • Damascus, MD
National Provider Identifier
1912417619
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
15105 Issued in MD
Legal business name
NEW SMILES KIDS DENTISTRY
Practice address
9815 Main St Ste 200
Damascus, MD 20872-2099
Phone
(301) 747-6543
NPI assigned
Oct 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Narayani K Baliga, DMDNPI 1194915025
Title
Owner
Phone
(301) 747-6543

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X
Dental Clinic/Center 261QD0000X 15105 MD Primary

Addresses

Primary practice location

9815 Main St Ste 200
Damascus, MD 20872-2099

Mailing address

9815 Main St Ste 200
Damascus, MD 20872-2099
Phone (301) 747-6547

Other identifiers 2

IdentifierTypeStateIssuer
15105OtherMDDHMH
1194915025OtherPERSONAL NPI

Other names 1

  • New Smiles Kids Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1507334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1912417619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 MAIN ST STE 200",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722099",
            "telephone_number": "301-747-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 MAIN ST STE 200",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722099",
            "telephone_number": "301-747-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SMILES KIDS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-07",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "BALIGA",
        "authorized_official_first_name": "NARAYANI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-747-6543",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "15105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHMH",
            "identifier": "15105",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1194915025",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Smiles Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Damascus, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.