NPIMap

Organization Active NPI

Kiddsmiles II PLLC

  • Pediatric Dentistry
  • Manhasset, NY
National Provider Identifier
1962892901
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KIDDSMILES II PLLC
Practice address
1201 Northern Blvd
Ste 102
Manhasset, NY 11030-3037
Phone
(516) 365-5439
Fax
(516) 365-5469
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Mrs. Dana Hutter
Title
Insurance Coordinator
Phone
(631) 576-4254

Specialties & licenses 1

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

Addresses

Primary practice location

1201 Northern Blvd
Ste 102
Manhasset, NY 11030-3037

Mailing address

1201 Northern Blvd
Ste 102
Manhasset, NY 11030-3037
Phone (516) 365-5439

Other names 1

  • Kiddsmiles II PLLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kiddsmiles II PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1201 Northern Blvd
Ste 102
Manhasset, NY 11030
Phone (516) 268-8807

Practitioners & affiliated clinicians

Practitioners 4

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": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1962892901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NORTHERN BLVD",
            "address_2": "STE 102",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303037",
            "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": "1201 NORTHERN BLVD",
            "address_2": "STE 102",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303037",
            "telephone_number": "516-365-5439",
            "fax_number": "516-365-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDSMILES II PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "HUTTER",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "631-576-4254",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiddsmiles II PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.