Smart Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMART DENTISTRY

Practice address

2288 E Main St Ste C
Cortez, CO 81321-4230

Phone

(719) 580-5559

Fax

(719) 992-2102

NPI assigned

Sep 17, 2019

Organization subpart

No

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

Authorized official

Name

Monique Trujillo

Title

Office Manager

Phone

(719) 580-5559

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1144870536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2288 E MAIN ST STE C",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813214230",
            "telephone_number": "719-580-5559",
            "fax_number": "719-992-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 E MAIN ST STE C",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813214230",
            "telephone_number": "719-580-5559",
            "fax_number": "719-992-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-580-5559"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "moniquetrujillodental@gmail.com",
            "affiliation": "N",
            "address_1": "2288 E Main St Ste C",
            "city": "Cortez",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813214230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Antonina Ivanovna Shangraw, PHD, BCBA-D
• Charlee Sharp, CAS
• Jonathan Lane Shepard, PA-C
• Courtney W. Sikes, DMD
• Silver Lining Advanced Life Planning LLC
• Jared Eugene Smith
• Jason Kent Smith, D.D.S.
• Kameo Lynnae Smith, D.O.
• Kendra D Smith, R.N.
• Sean Kerry Smith, PHARMD

• Dental Clinic/Center in Cortez, CO
• Providers in Cortez, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.