Organization Active NPI

Smile Tec

  • Health Maintenance Organization
  • Greeley, CO
National Provider Identifier
1265846596
Registry record updated Jun 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
905326 Issued in CO
Legal business name
SMILE TEC
Practice address
5207 W B St
Greeley, CO 80634-4269
Phone
(970) 301-1363
NPI assigned
Jun 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2014

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

Authorized official

Name
Mrs. Suzanne Marguerite Hubbard, RDH
Title
Dental Hygienist
Phone
(970) 301-1363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 905326 CO Primary

Addresses

Primary practice location

5207 W B St
Greeley, CO 80634-4269

Mailing address

5207 W B St
Greeley, CO 80634-4269
Phone (970) 301-1363

Other identifiers 1

IdentifierTypeStateIssuer
970072214MedicaidCO

Other names 1

  • Hubbard Family Dental Clinic Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402704000000",
    "number": "1265846596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5207 W B ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344269",
            "telephone_number": "970-301-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 W B ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344269",
            "telephone_number": "970-301-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE TEC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-14",
        "last_updated": "2014-06-14",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MARGUERITE",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "970-301-1363",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CO",
            "license": "905326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "970072214",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hubbard Family Dental Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2014; 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.