Great Smiles LTD.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8727 Issued in CO

Legal business name

GREAT SMILES LTD.

Doing business as

Great Smiles of Highlands Ranch

Practice address

9567 S University Blvd Unit C1A
Highlands Ranch, CO 80126-7898

Phone

(303) 694-1711

NPI assigned

Dec 10, 2012

Last updated

Dec 10, 2012By 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

Dr. William Douglas Beaber, DMD

Title

Doctor/Owner

Phone

(303) 465-4487

Specialties & licenses 1

Addresses

Other names 1

• Great Smiles of Highlands Ranch Doing business as

Tax ID family

Great Smiles LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Great Smiles LTD

  dba Great Smiles of Westminster

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westminster, CO
  • NPI 1811224520
  NPD tax ID
• Great Smiles LTD.

  dba Great Smiles of Parker

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Parker, CO
  • NPI 1972848448
  NPD tax ID

Locations

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1245575711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9567 S UNIVERSITY BLVD UNIT C1A",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267898",
            "telephone_number": "303-694-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9567 S UNIVERSITY BLVD UNIT C1A",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267898",
            "telephone_number": "303-694-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SMILES LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "BEABER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "303-465-4487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "8727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Smiles of Highlands Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlie Lorrayne Grandbouche, DPT
• Melinda Grandy, CNA
• Deirdre N Grate, MD
• Steffi R Gratigny, MD
• Great Play of Highlands Ranch
• Greater Athlete
• Bradley W Green, DDS
• Jill McIntire Green, MA, CCC-SLP
• Cassie E Greene
• Courtney Greenup, NURSE PRACTITIONER

• Orthodontics and Dentofacial Orthopedics Dentistry in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.