NPIMap

Organization Active NPI

Smile Doctors of Colorado, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pueblo, CO
National Provider Identifier
1043907678
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SMILE DOCTORS OF COLORADO, P.C.
Practice address
24 Club Manor Dr Ste 203
Pueblo, CO 81008-1659
Phone
(719) 417-5625
NPI assigned
Apr 24, 2023
Organization subpart
Yes
Parent organization
SMILE DOCTORS OF COLORADO, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Scott V. Law, DMD
Title
President
Phone
(719) 569-5715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

24 Club Manor Dr Ste 203
Pueblo, CO 81008-1659

Mailing address

5400 LBJ Fwy Ste 800
Dallas, TX 75240-1058
Phone (719) 569-5715

National Provider Directory

National Provider Directory
Tax ID family
Smile Doctors of Colorado PC12 organizations share this tax ID, including this one
Part of
Smile Doctors of Colorado PC

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24 Club Manor Dr
Ste 203
Pueblo, CO 81008
Phone (719) 417-5625

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1043907678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LBJ FWY STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401058",
            "telephone_number": "719-569-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CLUB MANOR DR STE 203",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081659",
            "telephone_number": "719-417-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DOCTORS OF COLORADO, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMILE DOCTORS OF COLORADO, P.C.",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-569-5715",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.