Active NPI
Smile Straight Orthodontics-Yuma PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Yuma, AZ
National Provider Identifier
1093315939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- SMILE STRAIGHT ORTHODONTICS-YUMA PLLC
- Practice address
- 2283 W 24TH Street
Suite 120
Yuma, AZ 85364 - Phone
- (928) 726-6023
- NPI assigned
- Oct 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa Leigh Zwicky
- Title
- Credentialing Manager
- Phone
- (480) 866-8811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
2283 W 24TH Street
Suite 120
Yuma, AZ 85364
Mailing address
5717 E Thomas Rd Ste 100
Scottsdale, AZ 85251-7620
Phone (623) 282-9959
National Provider Directory
National Provider DirectoryLocations
2283 W 24TH St
Ste 120
Yuma, AZ 85364
Phone (928) 726-6023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692662400000",
"number": "1093315939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5717 E THOMAS RD STE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517620",
"telephone_number": "623-282-9959",
"fax_number": "602-429-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2283 W 24TH STREET",
"address_2": "SUITE 120",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-726-6023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE STRAIGHT ORTHODONTICS-YUMA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-29",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A",
"authorized_official_last_name": "ZWICKY",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "480-866-8811"
},
"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 Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.