Organization Active NPI

Smile Rockers, PLLC

  • Dental Clinic/Center
  • Westminster, CO
National Provider Identifier
1124571617
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DH.000906409 Issued in CO
Legal business name
SMILE ROCKERS, PLLC
Practice address
4955 W 72ND Ave Unit L1
Westminster, CO 80030-5146
Phone
(630) 750-1429
NPI assigned
Aug 1, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lori Cackovic, BSDH, RDHNPI 1649724246
Title
Owner
Phone
(303) 952-9796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DH.000906409 CO Primary

Addresses

Primary practice location

4955 W 72ND Ave Unit L1
Westminster, CO 80030-5146

Mailing address

4955 W. 72ND Ave., Unit L1
Westminster, CO 80030-5146
Phone (303) 952-9796

National Provider Directory

National Provider Directory

Locations

4955 W 72nd Ave
Unit L1
Westminster, CO 80030
Phone (630) 750-1429

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124571617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 W. 72ND AVE., UNIT L1",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800305146",
            "telephone_number": "303-952-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 W 72ND AVE UNIT L1",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800305146",
            "telephone_number": "630-750-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ROCKERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CACKOVIC",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-952-9796",
        "authorized_official_credential": "BSDH, RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "DH.000906409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.