Organization Active NPI

Smile Vista Kids Dentistry & Orthodontics LLC

  • Pediatric Dentistry
  • Denver, CO
National Provider Identifier
1205794468
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on Jan 14, 2026

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.