Organization Active NPI

Smilebrite LLC

  • Pediatric Dentistry
  • Valparaiso, IN
National Provider Identifier
1972054286
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12009505 Issued in IN
Legal business name
SMILEBRITE LLC
Practice address
401 Wall St
Suite D
Valparaiso, IN 46383-2521
Phone
(219) 286-6228
Fax
(219) 286-6229
NPI assigned
Oct 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Dr. Bernadette Anne Delumpa Folke, D.D.S., M.S.
Title
Sole Owner/Pediatric Dentist
Phone
(219) 395-0403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 12009505 IN Primary

Addresses

Primary practice location

401 Wall St
Suite D
Valparaiso, IN 46383-2521

Mailing address

401 Wall St
Suite D
Valparaiso, IN 46383-2521
Phone (219) 286-6228

National Provider Directory

National Provider Directory

Locations

401 Wall St
Unit D
Valparaiso, IN 46383
Phone (219) 286-6228

Practitioners & affiliated clinicians

Practitioners 1

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": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1972054286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WALL ST",
            "address_2": "SUITE D",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832521",
            "telephone_number": "219-286-6228",
            "fax_number": "219-286-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WALL ST",
            "address_2": "SUITE D",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832521",
            "telephone_number": "219-286-6228",
            "fax_number": "219-286-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEBRITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "DELUMPA FOLKE",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "SOLE OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "219-395-0403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12009505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.