Community of Smiles Outreach

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COMMUNITY OF SMILES OUTREACH

Doing business as

Community of Smiles Outreach

Practice address

2174 E Williams Field Rd Ste 200
Gilbert, AZ 85295-0160

Phone

(480) 476-8785

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Marla Hughes, RCM

Title

Revenue Cycle Account Manager

Phone

(818) 522-1259

Specialties & licenses 1

Addresses

Other names 1

• Community of Smiles Outreach Doing business as

Locations

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1033973524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2174 E WILLIAMS FIELD RD STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950160",
            "telephone_number": "480-476-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 E WILLIAMS FIELD RD STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950160",
            "telephone_number": "480-476-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OF SMILES OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "REVENUE CYCLE ACCOUNT MANAGER",
        "authorized_official_telephone_number": "818-522-1259",
        "authorized_official_credential": "RCM"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community of Smiles Outreach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.