Organization Active NPI

Smileright Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Puyallup, WA
National Provider Identifier
1134429848
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SMILERIGHT ORTHODONTICS
Practice address
602 Meridian S
Puyallup, WA 98371-5908
Phone
(253) 845-7583
Fax
(253) 845-0535
NPI assigned
Oct 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Dr. M'Lissa Rajcich, D.M.D., M.S.NPI 1538373246
Title
Owner
Phone
(253) 845-7583

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

602 Meridian S
Puyallup, WA 98371-5908

Mailing address

602 Meridian S
Puyallup, WA 98371-5908
Phone (253) 845-7583

National Provider Directory

National Provider Directory
Tax ID family
Smile Right Orthodontics2 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

602 S Meridian
Puyallup, WA 98371
Phone (253) 845-7583

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1134429848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MERIDIAN S",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715908",
            "telephone_number": "253-845-7583",
            "fax_number": "253-845-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MERIDIAN S",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983715908",
            "telephone_number": "253-845-7583",
            "fax_number": "253-845-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILERIGHT ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "RAJCICH",
        "authorized_official_first_name": "M'LISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-845-7583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "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 Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.