Organization Active NPI

Smile 5 Professionals LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Aurora, CO
National Provider Identifier
1255666376
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9750 Issued in CO
Legal business name
SMILE 5 PROFESSIONALS LLC
Practice address
10401 East Colfax Ave
Aurora, CO 80010
Phone
(303) 341-2273
Fax
(303) 344-2286
NPI assigned
Oct 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Dr. Brodie Len Bowman, DMD
Title
Owner
Phone
(303) 341-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 9750 CO Primary

Addresses

Primary practice location

10401 East Colfax Ave
Aurora, CO 80010

Mailing address

10401 East Colfax Ave
Aurora, CO 80010
Phone (303) 341-2273

Other names 1

  • COMFORT DENTAL BRACES Doing business as

National Provider Directory

National Provider Directory

Locations

10401 E Colfax Ave
Aurora, CO 80010
Phone (303) 344-2273

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1255666376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 EAST COLFAX AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80010",
            "telephone_number": "303-341-2273",
            "fax_number": "303-344-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 EAST COLFAX AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80010",
            "telephone_number": "303-341-2273",
            "fax_number": "303-344-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE 5 PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "BRODIE",
        "authorized_official_middle_name": "LEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-341-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "9750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMFORT DENTAL BRACES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.