Organization Active NPI

Smile Straight Orthodontics-Yuma PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Yuma, AZ
National Provider Identifier
1093315939
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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

Updated by the provider on Aug 22, 2023

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.