Active NPI
Amazing Smiles
- Preferred Provider Organization
- Westminster, CO
National Provider Identifier
1215253992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 9230
- Legal business name
- AMAZING SMILES
- Practice address
- 7236 Federal Blvd Unit 100
Westminster, CO 80030-4965 - Phone
- (303) 424-5439
- Fax
- (303) 427-5779
- NPI assigned
- Apr 20, 2010
- Last updated
- Apr 20, 2010
- 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
- Amy Melissa Jorgensen-Blackburn
- Title
- President/Owner
- Phone
- (303) 424-5439
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 9230 | CO | Primary |
Addresses
Primary practice location
7236 Federal Blvd Unit 100
Westminster, CO 80030-4965
Mailing address
7236 Federal Blvd Unit 100
Westminster, CO 80030-4965
Phone (303) 424-5439
National Provider Directory
National Provider DirectoryLocations
7236 Federal Blvd
Unit 100
Westminster, CO 80030
Phone (303) 424-5439
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Westminster, CO
- NPI 1154400364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271721600000",
"number": "1215253992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7236 FEDERAL BLVD UNIT 100",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800304965",
"telephone_number": "303-424-5439",
"fax_number": "303-427-5779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7236 FEDERAL BLVD UNIT 100",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800304965",
"telephone_number": "303-424-5439",
"fax_number": "303-427-5779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAZING SMILES",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-20",
"last_updated": "2010-04-20",
"status": "A",
"authorized_official_last_name": "JORGENSEN-BLACKBURN",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "MELISSA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "303-424-5439"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "CO",
"license": "9230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.