Organization Active NPI

Smiles on the Go

  • Dental Hygienist
  • Longmont, CO
National Provider Identifier
1083245484
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
SMILES ON THE GO
Practice address
1361 Francis Street
Suite 202 Unit D
Longmont, CO 80501
Phone
(720) 592-6895
NPI assigned
Feb 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Annmarie Chaddic, RDH
Title
Registered Dental Hygienist
Phone
(720) 592-6895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

1361 Francis Street
Suite 202 Unit D
Longmont, CO 80501

Mailing address

1361 Francis Street
Suite 202 Unit D
Longmont, CO 80501
Phone (720) 592-6895

National Provider Directory

National Provider Directory

Locations

1361 Francis St
Ste 202D
Longmont, CO 80501
Phone (720) 592-6895

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1083245484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 FRANCIS STREET",
            "address_2": "SUITE 202 UNIT D",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "720-592-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 FRANCIS STREET",
            "address_2": "SUITE 202 UNIT D",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80501",
            "telephone_number": "720-592-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES ON THE GO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "CHADDIC",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_title_or_position": "REGISTERED DENTAL HYGIENIST",
        "authorized_official_telephone_number": "720-592-6895",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

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