Organization Active NPI

Smile Solutions LLC

Doing business as Clear Choice Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Denver, CO
National Provider Identifier
1164607768
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8281 Issued in CO
Legal business name
SMILE SOLUTIONS LLC
Doing business as
Clear Choice Orthodontics
Practice address
2617 E 3Rd Ave
Denver, CO 80206-4705
Phone
(303) 225-0525
Fax
(303) 225-0526
NPI assigned
Jan 2, 2008
Last updated
Jan 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. Damon C Wilkerson, DDS
Title
Owner
Phone
(303) 225-0525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8281 CO Primary

Addresses

Primary practice location

2617 E 3Rd Ave
Denver, CO 80206-4705

Mailing address

2617 E 3Rd Ave
Denver, CO 80206-4705
Phone (303) 225-0525

Other identifiers 1

IdentifierTypeStateIssuer
87656043MedicaidCO

Other names 1

  • Clear Choice Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2617 E 3rd Ave
Denver, CO 80206
Phone (303) 225-0525

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1164607768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 E 3RD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064705",
            "telephone_number": "303-225-0525",
            "fax_number": "303-225-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 E 3RD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064705",
            "telephone_number": "303-225-0525",
            "fax_number": "303-225-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-225-0525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "8281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87656043",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Choice Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.