Mile High Smiles PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MILE HIGH SMILES PLLC

Doing business as

iSmile Dental

Practice address

677 S Federal Blvd
Denver, CO 80219-2938

Phone

(303) 955-6079

NPI assigned

Mar 4, 2019

Last updated

Mar 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric Johnson, DMD

Title

Owner

Phone

(602) 697-0934

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• iSmile Dental Doing business as

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1023576501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15842 JOSEPHINE CIR W",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027756",
            "telephone_number": "602-697-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802192938",
            "telephone_number": "303-955-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-697-0934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417324138",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iSmile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mile High Physical Therapy, LLC
• Mile High Retina, PLLC
• Mile High Sports and Rehabilitation Medicine, P.C.
• Mile High Sports and Rehabilitation Medicine, PC
• Mile High Sports and Rehabilitation Medicine, PC
• Mile High Therapy
• Mile High Therapy

• Dental Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.