Organization Active NPI

Happy Smiles Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St Augustine, FL
National Provider Identifier
1922847078
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
HAPPY SMILES ORTHODONTICS
Practice address
206 Ashourian Ave Ste 211
St Augustine, FL 32092-5107
Phone
(904) 201-4844
Fax
(904) 201-4432
NPI assigned
May 20, 2024
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Dr. Mark Komforti, DMDNPI 1093021578
Title
Owner
Phone
(904) 201-4844

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 Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

206 Ashourian Ave Ste 211
St Augustine, FL 32092-5107

Mailing address

206 Ashourian Ave Ste 211
St Augustine, FL 32092-5107
Phone (904) 201-4844

National Provider Directory

National Provider Directory

Locations

206 Ashourian Ave
Ste 211
St Augustine, FL 32092
Phone (904) 201-4844

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1922847078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ASHOURIAN AVE STE 211",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925107",
            "telephone_number": "904-201-4844",
            "fax_number": "904-201-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ASHOURIAN AVE STE 211",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925107",
            "telephone_number": "904-201-4844",
            "fax_number": "904-201-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY SMILES ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "KOMFORTI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-201-4844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.