THE SMILE FACTORY FOR THE CHILDREN OF THE DESERT (THE SMILE FACTORY OF THE TIEMPO DE LOS NINOS) NPI 1023290822

Voluntary or Charitable in Palm Springs, CA

NPI 1023290822 Organization Voluntary or Charitable

About THE SMILE FACTORY FOR THE CHILDREN OF THE DESERT (THE SMILE FACTORY OF THE TIEMPO DE LOS NINOS)

The Smile Factory For The Children Of The Desert (the Smile Factory Of The Tiempo De Los Ninos) is a provider established in Palm Springs, California specializing in voluntary or charitable. The NPI number of The Smile Factory For The Children Of The Desert (the Smile Factory Of The Tiempo De Los Ninos) is 1023290822 and was assigned on December 2007. The practitioner's primary taxonomy code is 251V00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as The Smile Factory For The Children Of The Desert. The authorized official of this NPI record is Sharon Kay Stevens (Executive Director)

NPI

1023290822

Provider NameTHE SMILE FACTORY FOR THE CHILDREN OF THE DESERT (THE SMILE FACTORY OF THE TIEMPO DE LOS NINOS)
Provider Location Address1140 N INDIAN CANYON DR PALM SPRINGS, CA 92262
Provider Mailing Address100 S SUNRISE WAY A-409 PALM SPRINGS, CA 92262
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameTHE SMILE FACTORY FOR THE CHILDREN OF THE DESERT
Other Name TypeDoing Business As (3)
Enumeration Date12-04-2007
Last Update Date12-04-2007


Primary Taxonomy

Taxonomy Code251V00000X
ClassificationVoluntary or Charitable
TypeAgencies

Business Address

THE SMILE FACTORY FOR THE CHILDREN OF THE DESERT
1140 N INDIAN CANYON DR
PALM SPRINGS, CA
ZIP 92262
Phone: (760) 318-2465

Get Directions


Mailing Address

THE SMILE FACTORY FOR THE CHILDREN OF THE DESERT
100 S SUNRISE WAY
A-409
PALM SPRINGS, CA
ZIP 92262
Phone: (760) 318-2465
Fax: (760) 406-6155



Authorized Official

Authorized Official Name SHARON KAY STEVENS
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(760) 318-2465

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G98491-01OTHER (01)CA

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528262383DR. WILLIAM ROBERT CHASE D.D.S.
Individual
Dentist1140 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
(760) 318-2465
1801157235DR. SANTA KERZUMA D.O.
Individual
Internal Medicine1140 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
(760) 323-6511
1548637952DESERT SPRINGS GASTROENTEROLOGY CORPORATION
Organization
Internal Medicine (Gastroenterology)1140 N INDIAN CANYON DR SUITE 100
PALM SPRINGS, CA 92262
(760) 323-6880

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.