KIDS SUPER SMILE (NPI# 1942548540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942548540 |
| Entity Type | Organization |
| Organization Name | KIDS SUPER SMILE |
| Practice Address |
8600 Snowden River Pkwy 302 Columbia MD 21045-1982 |
| Practice Telephone | 4109530111 |
| Practice Fax Number | 4109530193 |
| Mailing Telephone | 4109530111 |
| Mailing Fax Number | 4109530193 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |
| Authorized Official Name | DR. XIMENA PAREJA (OFFICER) |
| Authorized Official Telephone | 4109530111 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12833 | MD | Dental Providers |
| Street Address |
8600 SNOWDEN RIVER PKWY 302 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-1982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053381202 | Gary A Vela | Surgery | 8600 Snowden River Pkwy, Suite 308, Columbia, MD 21045-1982 | 2006-01-23 |
| 1316373095 | Howard County Center for Lung and Sleep Medicine Ll C | Internal Medicine | 8600 Snowden River Pkwy, Suite 202, Columbia, MD 21045-1982 | 2013-09-25 |
| 1871936294 | Columbia Medical Sport & Spine LLC | Durable Medical Equipment & Medical Supplies | 8600 Snowden River Pkwy, Suite 103, Columbia, MD 21045-1982 | 2013-04-16 |
| 1710221874 | Dabbs Accelerated Back Care Program. LLC | Chiropractor | 8600 Snowden River Pkwy, Ste 101, Columbia, MD 21045-1982 | 2012-11-15 |
| 1033347877 | Pulmonary Disease and Critical Care Associates, Pa. | Internal Medicine | 8600 Snowden River Pkwy, 202, Columbia, MD 21045-1982 | 2009-07-01 |
| 1629212824 | Kathleen Gibson Davis | Audiologist | 8600 Snowden River Pkwy, #309, Columbia, MD 21045-1982 | 2009-05-01 |
| 1174719660 | Jamie Leigh Neary | Audiologist | 8600 Snowden River Pkwy, Ste 309, Columbia, MD 21045-1986 | 2007-09-19 |
| 1043332125 | Lawrence Katkow | Dentist | 8600 Snowden River Pkwy, #106, Columbia, MD 21045-1982 | 2007-04-06 |
| 1962536037 | Anne M. Delaney | Audiologist | 8600 Snowden River Pkwy, Suite 309, Columbia, MD 21045-1982 | 2007-03-14 |
| 1871634394 | Harrys Primary Care LLC | Internal Medicine | 8600 Snowden River Pkwy, Suite 301, Columbia, MD 21045-1982 | 2007-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437668126 | Como Pediatric Dentistry LLC | Dentist | 1316 Old 63 S Ste 201, Columbia, MO 65201-6092 | 2017-09-25 |
| 1528585924 | Carolina Orthodontics and Pediatric Dentistry | Dentist | 921 Longtown Rd Ste B, Columbia, SC 29229-9498 | 2017-08-25 |
| 1154733509 | Carol Nixon | Dentist | 927 N. James Campbell Blvd, Suite 106, Bldg 1, Columbia, TN 38401 | 2014-05-20 |
| 1700151768 | Columbia Dentistry for Children | Dentist | 1000 W Nifong Blvd Ste 6-130, Columbia, MO 65203-5607 | 2012-03-09 |
| 1598094138 | Northeast Childrens Dentistry | Dentist | 147 Summit Centre Dr., Columbia, SC 29229 | 2009-12-10 |
| 1427176916 | B. Casey Crafton | Dentist | 10380 Old Columbia Rd Ste 102, Columbia, MD 21046-2005 | 2007-03-26 |
| 1215083696 | John Allen Gardner | Dentist | 1316 Old 63 South, Suite 201, Columbia, MO 65201-6045 | 2007-01-26 |
| 1639259047 | Robert Dale Coyle | Dentist | 1000 N Nifong, Bldg 6 Suite 130, Columbia, MO 65203 | 2006-10-17 |
| 1770678526 | Heather Huntley Owens | Dentist | 1706 Wedgewood Dr, Columbia, TN 38401-3527 | 2006-10-04 |
| 1770513293 | Lori Henderson | Dentist | 1506 Chapel Hill Rd Ste B, Columbia, MO 65203-5504 | 2006-07-03 |
| Find all providers in COLUMBIA | ||||
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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.