Jordana Diane Smallberg, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

053021 Issued in NY

Practice address

330 Winthrop St
First Floor
Westbury, NY 11590-3388

Phone

(516) 997-3636

NPI assigned

Jul 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smallberg & Satornino DDS PLLC

  • General Practice Dentistry
  • Westbury, NY
  • NPI 1750038337
  NPD Authorized official

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1992904437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WINTHROP ST",
            "address_2": "1ST FLOOR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115903388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WINTHROP ST",
            "address_2": "FIRST FLOOR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115903388",
            "telephone_number": "516-997-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLBERG",
        "first_name": "JORDANA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-14",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053021",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Elizabeth Skakel, LPN
• Samantha Slater
• Small Blessings Doula Care LLC.
• Barbara Coline Small
• Smallberg & Satornino DDS PLLC
• Kenisha Sade Smalls
• Smile on Dental PLLC
• Bradley Dean Smith, C.O.
• Brittney E Smith
• Chantel Smith

• Dentist in Westbury, NY
• Providers in Westbury, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.