Active NPI
Smile Design Center
- Dentist
- Rockledge, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN15965
- Legal business name
- SMILE DESIGN CENTER
- Practice address
- 5445 Village Dr Ste 100
Rockledge, FL 32955-6666 - Phone
- (321) 751-7775
- NPI assigned
- Dec 31, 2016
- Last updated
- Dec 31, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Warren Christopher Edwards, DDS
- Title
- President
- Phone
- (321) 751-7775
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN15965 | FL | Primary |
| Dentist | 122300000X | DN20180 | FL |
Addresses
Primary practice location
5445 Village Dr Ste 100
Rockledge, FL 32955-6666
Mailing address
5445 Village Dr Ste 100
Rockledge, FL 32955-6666
Phone (321) 751-7775
National Provider Directory
National Provider DirectoryLocations
5445 Village Dr
Ste 100
Rockledge, FL 32955
Phone (321) 751-7775
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.
-
- General Practice Dentistry
- Melbourne, FL
- NPI 1689759235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483142400000",
"number": "1972048874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5445 VILLAGE DR STE 100",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329556666",
"telephone_number": "321-751-7775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 VILLAGE DR STE 100",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329556666",
"telephone_number": "321-751-7775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE DESIGN CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-31",
"last_updated": "2016-12-31",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "WARREN",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "321-751-7775",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN15965",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN20180",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.