Organization Active NPI

Smilerestore

  • Dentist
  • Reno, NV
National Provider Identifier
1144827767
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILERESTORE
Doing business as
SmileRestore
Practice address
5365 Mae Anne Ave Ste B1
Reno, NV 89523-1897
Phone
(775) 800-1051
Fax
(775) 313-9032
NPI assigned
Oct 6, 2020
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Dr. Georgene Bernice Chase, DDSNPI 1922110337
Title
Dentist/Executive Director
Phone
(775) 800-1051

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

5365 Mae Anne Ave Ste B1
Reno, NV 89523-1897

Mailing address

5365 Mae Anne Ave Ste B1
Reno, NV 89523-1897
Phone (775) 800-1051

Other names 1

  • SmileRestore Doing business as

National Provider Directory

National Provider Directory

Locations

5365 Mae Anne Ave
Ste B1
Reno, NV 89523
Phone (775) 800-1051

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": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1144827767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 MAE ANNE AVE STE B1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895231897",
            "telephone_number": "775-800-1051",
            "fax_number": "775-313-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5365 MAE ANNE AVE STE B1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895231897",
            "telephone_number": "775-800-1051",
            "fax_number": "775-313-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILERESTORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "GEORGENE",
        "authorized_official_middle_name": "BERNICE",
        "authorized_official_title_or_position": "DENTIST/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "775-800-1051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileRestore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.