CHILDSMILES GROUP HOLDINGS LLC (NPI# 1023643889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023643889 |
| Entity Type | Organization |
| Organization Name | CHILDSMILES GROUP HOLDINGS LLC |
| Practice Address |
45 Bleeker St Newark NJ 07102-1913 |
| Practice Telephone | 9735788788 |
| Practice Fax Number | 9735788799 |
| Mailing Telephone | 9735788788 |
| Mailing Fax Number | 9735788799 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | MICHAEL SKOLNICK (OWNER) |
| Authorized Official Telephone | 9735788788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 126800000X | Dental Assistant | Dental Providers | ||
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Street Address |
45 BLEEKER ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649606567 | Bleeker Street Chiropractic LLC | Chiropractor | 45 Bleeker St, First Floor, Newark, NJ 07102-1913 | 2013-09-24 |
| 1306479902 | Childsmiles PC Holdings Nj Pa | Dentist | 45 Bleeker St, Newark, NJ 07102-1913 | 2020-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679139448 | Delaware Braces, LLC | Dentist | 2444 Pulaski Hwy Ste 200, Newark, DE 19702-3906 | 2019-05-16 |
| 1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
| 1144606310 | Rayanne Lee | Dentist | 110 Bergen Street, Rutgers School of Dental Medicine, Department of Orthodontics - Room C781, Newark, NJ 07103 | 2015-08-10 |
| 1508099938 | Andrew C Wong | Dentist | 3900 Newpark Mall Road, Suite 204, Newark, CA 94560-5241 | 2009-09-02 |
| 1366576373 | Thomas Wilson Beattie | Dentist | 589 Moull St, Newark, OH 43055-2909 | 2007-03-14 |
| 1932250735 | William D. Plikerd | Dentist | 974 N 21st St, Suite 1a, Newark, OH 43055-2990 | 2007-01-16 |
| 1205991668 | David S Briss | Dentist | 110 Bergen St Rm D884, Newark, NJ 07103-2495 | 2006-12-26 |
| 1366413528 | Brian E Crock | Dentist | 175 Mcmillen Dr, Newark, OH 43055-1810 | 2006-01-27 |
| 1841275609 | Robert E. Binder | Dentist | 110 Bergen Street, New Jersey Dental School, Department of Orthodontics, Newark, NJ 07101-1709 | 2005-12-14 |
| 1871064709 | Ezra Jared Brown | Dentist | 509 Orange St, Newark, NJ 07107-2128 | 2018-12-17 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.