Organization Active NPI

Smiles for Miles Family Dentistry, LLC

  • Dental Clinic/Center
  • Waukesha, WI
National Provider Identifier
1316347826
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6060 Issued in WI
Legal business name
SMILES FOR MILES FAMILY DENTISTRY, LLC
Practice address
S22W22660 Broadway
Suite 2
Waukesha, WI 53186-8100
Phone
(414) 526-0655
NPI assigned
Sep 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Authorized official

Name
Dr. Richard John Salm Jr., DDSNPI 1578683942
Title
Dentist Owner
Phone
(414) 526-0655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6060 WI Primary

Addresses

Primary practice location

S22W22660 Broadway
Suite 2
Waukesha, WI 53186-8100

Mailing address

S22W22660 Broadway
Suite 2
Waukesha, WI 53186-8100
Phone (414) 526-0655

National Provider Directory

National Provider Directory

Locations

S22W22660 Broadway
Ste 2
Waukesha, WI 53186
Phone (414) 526-0655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1316347826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S22W22660 BROADWAY",
            "address_2": "SUITE 2",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531868100",
            "telephone_number": "414-526-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S22W22660 BROADWAY",
            "address_2": "SUITE 2",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531868100",
            "telephone_number": "414-526-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES FOR MILES FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "SALM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "414-526-0655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "6060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.