NPIMap

Organization Active NPI

Unlimited Smiles

  • Dentist
  • Walnut Creek, CA
National Provider Identifier
1124321138
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
UNLIMITED SMILES
Doing business as
Smiles Makers Dental Group
Practice address
2033 N Main St
Suite 1060-a
Walnut Creek, CA 94596-3722
Phone
(925) 300-3992
Fax
(925) 952-7376
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Ms. Blanca Casillas
Title
Vice President
Phone
(925) 300-3992

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

2033 N Main St
Suite 1060-a
Walnut Creek, CA 94596-3722

Mailing address

2033 N Main St
Suite 1060-a
Walnut Creek, CA 94596-3722
Phone (925) 300-3992

Other names 1

  • Smiles Makers Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smiles Makers Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2033 N Main St
Ste 1060A
Walnut Creek, CA 94596
Phone (925) 300-3992

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1124321138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 N MAIN ST",
            "address_2": "SUITE 1060-A",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963722",
            "telephone_number": "925-300-3992",
            "fax_number": "925-952-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 N MAIN ST",
            "address_2": "SUITE 1060-A",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963722",
            "telephone_number": "925-300-3992",
            "fax_number": "925-952-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "CASILLAS",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "925-300-3992",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles Makers Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.