Kids Super Smile

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12833 Issued in MD

Legal business name

KIDS SUPER SMILE

Practice address

8600 Snowden River Pkwy
302
Columbia, MD 21045-1982

Phone

(410) 953-0111

Fax

(410) 953-0193

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ximena Pareja, DDS

Title

Officer

Phone

(410) 953-0111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1942548540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SNOWDEN RIVER PKWY",
            "address_2": "302",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451982",
            "telephone_number": "410-953-0111",
            "fax_number": "410-953-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 SNOWDEN RIVER PKWY",
            "address_2": "302",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451982",
            "telephone_number": "410-953-0111",
            "fax_number": "410-953-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS SUPER SMILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "PAREJA",
        "authorized_official_first_name": "XIMENA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "410-953-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "12833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahwish Shakil Khurram, MD
• Joyce Nyawira Kiama, PHAMD
• Caitlyn Marie Kibler, LCSW-C
• Porchia Kibler
• Kibone LLC
• Biniam G. Kifle, P.A.
• Cristina Kilby
• Pamela Lynn Killian
• Olivia Kilroy
• Christopher S Kim, D.O.

• Pediatric Dentistry in Columbia, MD
• Providers in Columbia, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.