NPIMap

Organization Active NPI

Dr. Chris' Small Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • Stony Brook, NY
National Provider Identifier
1942543210
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
053189 Issued in NY
Legal business name
DR. CHRIS' SMALL SMILES PEDIATRIC DENTISTRY
Practice address
215 Hallock Rd
Suite 2
Stony Brook, NY 11790-3078
Phone
(631) 762-9910
NPI assigned
Apr 4, 2013
Last updated
Apr 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Dr. Christos IoannouNPI 1609055938
Title
Owner
Phone
(516) 761-2938

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 053189 NY Primary

Addresses

Primary practice location

215 Hallock Rd
Suite 2
Stony Brook, NY 11790-3078

Mailing address

215 Hallock Rd
Suite 2
Stony Brook, NY 11790-3078
Phone (631) 762-9910

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, 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": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1942543210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HALLOCK RD",
            "address_2": "SUITE 2",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903078",
            "telephone_number": "631-762-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HALLOCK RD",
            "address_2": "SUITE 2",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903078",
            "telephone_number": "631-762-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CHRIS' SMALL SMILES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "IOANNOU",
        "authorized_official_first_name": "CHRISTOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-761-2938",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "053189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.