Active NPI
Smile Vista Kids Dentistry & Orthodontics LLC
- Pediatric Dentistry
- Denver, CO
National Provider Identifier
1205794468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SMILE VISTA KIDS DENTISTRY & ORTHODONTICS LLC
- Practice address
- 4499 W 38TH Ave Unit 101
Denver, CO 80212-2199 - Phone
- (303) 827-0606
- Fax
- (303) 827-0606
- NPI assigned
- Jan 14, 2026
- 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
- Cassandra Wieth
- Title
- Director of Payor Relations
- Phone
- (623) 267-8121
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary | ||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
4499 W 38TH Ave Unit 101
Denver, CO 80212-2199
Mailing address
4499 W 38TH Ave Unit 101
Denver, CO 80212-2199
Phone (303) 827-0606
National Provider Directory
National Provider DirectoryLocations
4499 W 38th Ave
Unit 101
Denver, CO 80212
Phone (303) 827-0606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768348800000",
"number": "1205794468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4499 W 38TH AVE UNIT 101",
"city": "DENVER",
"state": "CO",
"postal_code": "802122199",
"telephone_number": "303-827-0606",
"fax_number": "303-827-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4499 W 38TH AVE UNIT 101",
"city": "DENVER",
"state": "CO",
"postal_code": "802122199",
"telephone_number": "303-827-0606",
"fax_number": "303-827-0606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE VISTA KIDS DENTISTRY & ORTHODONTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-14",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A",
"authorized_official_last_name": "WIETH",
"authorized_official_first_name": "CASSANDRA",
"authorized_official_title_or_position": "DIRECTOR OF PAYOR RELATIONS",
"authorized_official_telephone_number": "623-267-8121"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.