Shaan Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02261100 Issued in NJ

Legal business name

SHAAN SMILES LLC

Doing business as

Shaan Smiles LLC

Practice address

3906 Bergenline Ave
1St Floor
Union City, NJ 07087-4820

Phone

(973) 225-9975

NPI assigned

Jul 14, 2014

Last updated

Oct 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jasmeet Khurana, DDS

Title

Owner

Phone

(201) 330-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shaan Smiles LLC Doing business as

Locations

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1992112734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 BERGENLINE AVE",
            "address_2": "1ST FLOOR",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874820",
            "telephone_number": "973-225-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 BERGENLINE AVE",
            "address_2": "1ST FLOOR",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070874820",
            "telephone_number": "973-225-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAAN SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "KHURANA",
        "authorized_official_first_name": "JASMEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-330-7600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02261100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0305669",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shaan Smiles LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce E Schwartzman, DMD
• Sean G. Walton Limited Liability Company
• Peter H Seo, LAC
• Ines P Serna, MS, CCCE,CD(DONA)
• Gretchen Sgagliardich, P.T.
• Lori Shah, DDS
• Nilam Shah, OPTICIAN
• Shrey Shah, DDS
• Rashi Sharma, MD
• Surendra M Sharma, M.D.

• General Practice Dentistry in Union City, NJ
• Providers in Union City, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.