I-SMILE BRACES, PLLC (NPI# 1164817870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164817870 |
| Entity Type | Organization |
| Organization Name | I-SMILE BRACES, PLLC |
| Practice Address |
150 Islip Ave Suite 3 Islip NY 11751-3222 |
| Practice Telephone | 6315816565 |
| Practice Fax Number | 6315816574 |
| Mailing Telephone | 6315816565 |
| Mailing Fax Number | 6315816574 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |
| Authorized Official Name | DR. CHANDRA PHAM (ORTHODONTIST) |
| Authorized Official Telephone | 6315816565 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
054700-1 | NY | Dental Providers |
| Street Address |
150 ISLIP AVE SUITE 3 |
| City | ISLIP |
| State | NY |
| Zip Code | 11751-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023081247 | Lawrence Forur | Optometrist | 150 Islip Ave, Suite 12, Islip, NY 11751-3222 | 2006-02-08 |
| 1659559862 | Summit Vision Care, Inc. | Eyewear Supplier (Equipment, not the service) | 150 Islip Ave, Suite 12, Islip, NY 11751-3222 | 2008-02-11 |
| 1629117874 | Walter B Feldman | Dentist | 150 Islip Ave, Suite 3, Islip, NY 11751-3222 | 2007-02-05 |
| 1114004934 | Christopher D Skurka | Chiropractor | 150 Islip Ave, Islip, NY 11751 | 2006-11-01 |
| 1528081072 | Sara Desantis | Dentist | 150 Islip Ave, Suite 11, Islip, NY 11751-3222 | 2006-07-25 |
| 1144240714 | Kathleen M Frost | Dentist | 150 Islip Ave, Suite 11, Islip, NY 11751-3222 | 2006-07-19 |
| 1013982941 | Ronald Michael Dunphy | General Practice | 150 Islip Ave, Suite 6, Islip, NY 11751-3222 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326528423 | Lindasy Abrams | Clinic/Center | 501 Moffitt Blvd, Islip, NY 11751 | 2018-08-17 |
| 1487149720 | Michael James Rivezzo | Occupational Therapist | 148 Monell Ave, Islip, NY 11751 | 2018-06-28 |
| 1114437894 | Raluchukwu Okonkwo Inc. | Clinic/Center | 59 38th Street, Islip, NY 11751 | 2017-10-06 |
| 1407228844 | Eileen Marie Hannon | Nurse Practitioner | 39 Iron Wood Street, Islip, NY 11751 | 2015-10-26 |
| 1427439132 | Sean Lynch | Podiatrist | 2330 Union Boulevard, Union Medical Plaza, Islip, NY 11751 | 2015-06-18 |
| 1700130002 | Elizabeth C Smith | Speech-Language Pathologist | 355 Cedar Avenue, Islip, NY 11751 | 2012-11-08 |
| 1760792592 | Commack Speech and Language | Early Intervention Provider Agency | 4 Suellen Court, Islip, NY 11751 | 2010-10-14 |
| 1861623472 | Adrian Carlo Lombardi | Family Medicine | 215 Islip Ave Ste 2, Islip, NY 11751 | 2009-07-30 |
| 1154566875 | Pamela J Torres | Social Worker | 2455 Union Blvd Apt, 3a, Islip, NY 11751 | 2008-12-09 |
| 1992978654 | Gloria S Escobar | Family Medicine | 148 Islip Avenue, Suite 27, Islip, NY 11751 | 2008-04-02 |
| Find all providers in zip 11751 | ||||
| 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 |
|---|---|---|---|---|
| 1417594706 | South Bay Orthodontics | Dentist | 439 Main St, Islip, NY 11751-3538 | 2019-12-05 |
| 1033431598 | Margaret Zadnik | Dentist | 439 Main St, Islip, NY 11751-3538 | 2010-02-24 |
| 1629117874 | Walter B Feldman | Dentist | 150 Islip Ave, Suite 3, Islip, NY 11751-3222 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1467069575 | Thomas P. Shannon, Dds, Professional Corporation | Dentist | 44 W 28th St Fl 14, New York, NY 10001-4212 | 2020-09-23 |
| 1508471665 | Daniella Davis | Dentist | 500 Portion Rd Ste 15, Lake Ronkonkoma, NY 11779-4587 | 2020-09-14 |
| 1144835927 | Nikhil Narkhede | Dentist | 401 Columbus Ave Ste 100, Valhalla, NY 10595-1349 | 2020-09-09 |
| 1619580040 | Amanda Beth Albin | Dentist | 62 Lake Ave S Ste A, Nesconset, NY 11767-1094 | 2020-08-25 |
| 1770109589 | Empire State Orthodontics, P.C. | Dentist | 2840 Military Rd, Niagara Falls, NY 14304-1566 | 2020-06-18 |
| 1457986044 | Todd Weinberger | Dentist | 1097 Old Country Rd Ste 203, Plainview, NY 11803-6505 | 2020-03-04 |
| 1851926513 | Miang Chneh C Teo | Dentist | 1100 Pelham Pkwy S, Bronx, NY 10461-1001 | 2020-03-03 |
| 1871127209 | Parisa Zare | Dentist | 40 Waterside Plz Apt 23e, New York, NY 10010-2633 | 2020-02-25 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
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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.