NPIMap

Organization Active NPI

Kiddsmiles Pediatric Dentistry 7 PLLC

  • Pediatric Dentistry
  • Floral Park, NY
National Provider Identifier
1952929911
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KIDDSMILES PEDIATRIC DENTISTRY 7 PLLC
Practice address
263 Jericho Tpke
Floral Park, NY 11001-2146
Phone
(516) 365-5439
Fax
(516) 365-5469
NPI assigned
Jul 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Cynthia Pastore
Title
Insurance Coordinator
Phone
(516) 365-5439

Specialties & licenses 1

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

Addresses

Primary practice location

263 Jericho Tpke
Floral Park, NY 11001-2146

Mailing address

263 Jericho Tpke
Floral Park, NY 11001-2146
Phone (516) 365-5439

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL computer Direct

National Provider Directory

National Provider Directory

Locations

263 Jericho Tpke
Floral Park, NY 11001
Phone (516) 365-5439

Practitioners & affiliated clinicians

Practitioners 5

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": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1952929911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012146",
            "telephone_number": "516-365-5439",
            "fax_number": "516-365-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012146",
            "telephone_number": "516-365-5439",
            "fax_number": "516-365-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDSMILES PEDIATRIC DENTISTRY 7 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "PASTORE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "516-365-5439"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "263 Jericho Tpke",
            "city": "Floral Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110012146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.