Smilemakers, PLLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

D-4353-PR Issued in ID

Legal business name

SMILEMAKERS, PLLC

Practice address

142 River Vista PL
Twin Falls, ID 83301-3056

Phone

(208) 734-7246

NPI assigned

Jun 10, 2014

Last updated

Jun 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angla Mace

Title

Office Manager

Phone

(208) 734-7246

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Craig David Pulsipher, DDS

  • Endodontics
  • Twin Falls, ID
  • NPI 1245312255
  NPD (past)
• Kyrsten M Wooldridge, LD

  • Denturist
  • Twin Falls, ID
  • NPI 1063064053
  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1205249943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 RIVER VISTA PL",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 RIVER VISTA PL",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013056",
            "telephone_number": "208-734-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEMAKERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "MACE",
        "authorized_official_first_name": "ANGLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-734-7246"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "ID",
            "license": "D-4353-PR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "20004358",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sliers
• Alexx Sliman, PA
• Cole Small, DPT
• Katie Small, M.S., CCC-SLP
• Lisa Smallwood, OTR/L
• Smiles 4 Kids, LLC
• Smith Pediatric Dentistry P.C
• Camille Smith, D.O.
• Dell P Smith, M.D.
• Donald E Smith, MD

• Prosthetic/Orthotic Supplier in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Prosthetic/Orthotic Supplier in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.