Active NPI
Smile Solutions LLC
Doing business as Clear Choice Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Denver, CO
National Provider Identifier
1164607768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 8281
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87656043 | Medicaid | CO |
Other names 1
- Clear Choice Orthodontics
National Provider Directory
National Provider DirectoryLocations
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.