Dr. Paddy, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

00201825 Issued in CO

Legal business name

DR. PADDY, PLLC

Practice address

2373 Central Park Blvd Unit 305
Denver, CO 80238-2301

Phone

(303) 399-5437

NPI assigned

Jul 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Alfred Patrick Smithwick III, DDS

Title

Owner

Phone

(443) 756-7119

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stapleton Children's Dentistry Doing business as

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144744657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD UNIT 305",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382301",
            "telephone_number": "303-399-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD UNIT 305",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382301",
            "telephone_number": "303-399-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PADDY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITHWICK",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-756-7119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "00201825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71537856",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stapleton Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• Pediatric Dentistry in Colorado

• 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.