Smile Two, Prof. LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SMILE TWO, PROF. LLC

Practice address

1221 S Pueblo Blvd
Pueblo, CO 81005-1507

Phone

(719) 564-5433

NPI assigned

Oct 27, 2023

Organization subpart

Yes

Parent organization

SMILE TWO, PROF. LLCAs reported in NPPES

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

Authorized official

Name

Liz Blevins

Title

Office Mangager

Phone

(719) 622-1225

Specialties & licenses 1

Addresses

Other names 2

• Comfort Dental Braces Doing business as
• Smile Four, Prof. LLC Former legal business name

Tax ID family

Smile Two Prof LLC3 organizations share this tax ID, including this one

Part of

Smile Two Prof LLC

Other organizations with this tax ID 2

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

• Smile Two Professionals

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colorado Springs, CO
  • NPI 1336373109
  NPD tax ID
• Smile Two Professionals

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Colorado Springs, CO
  • NPI 1366011751
  NPD tax ID

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1285406728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3952 N ACADEMY BLVD STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175910",
            "telephone_number": "719-622-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051507",
            "telephone_number": "719-564-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE TWO, PROF. LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMILE TWO,  PROF. LLC",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "OFFICE MANGAGER",
        "authorized_official_telephone_number": "719-622-1225"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Braces",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smile Four, Prof. LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Paige Ryan Smid, AUD
• Smile Doctors of Colorado, P.C.
• Smile Doctors of Colorado, P.C.
• Smile for-Me PLLC
• Smile Four Professionals LLC
• Scott L Smiley, MD
• Wendi Smith Stitt Palomar
• A Theodore Smith, PA-C, L.AC.
• Bradley W Smith, D.O.
• Brady Tucker Smith, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Pueblo, CO
• Providers in Pueblo, 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 Oct 27, 2023; 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.