Organization Active NPI

Radiance Smile Solutions, PLLC

Doing business as Radiance Artistic Dentistry & Wellness

  • Dental Clinic/Center
  • Boulder, CO
National Provider Identifier
1043816093
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RADIANCE SMILE SOLUTIONS, PLLC
Doing business as
Radiance Artistic Dentistry & Wellness
Practice address
350 Broadway St Ste 140
Boulder, CO 80305-3306
Phone
(303) 447-2281
NPI assigned
Dec 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Dr. Radip Uprety, DDSNPI 1255763223
Title
Dentist/ Owner
Phone
(612) 226-0695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

350 Broadway St Ste 140
Boulder, CO 80305-3306

Mailing address

355 Eldorado Blvd Unit 341
Broomfield, CO 80021-3689
Phone (612) 226-0695

Other names 1

  • Radiance Artistic Dentistry & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

350 Broadway St
Ste 140
Boulder, CO 80305
Phone (303) 447-2281

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1043816093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 ELDORADO BLVD UNIT 341",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213689",
            "telephone_number": "612-226-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BROADWAY ST STE 140",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053306",
            "telephone_number": "303-447-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE SMILE SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "UPRETY",
        "authorized_official_first_name": "RADIP",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "612-226-0695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiance Artistic Dentistry & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.