NPIMap

Organization Active NPI

Smilelast LLC

  • Dental Clinic/Center
  • Denver, CO
National Provider Identifier
1316702145
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILELAST LLC
Practice address
1499 Blake St Ste 1J
Denver, CO 80202-1356
Phone
(951) 288-5271
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Mario DimitryNPI 1629834114
Title
Owner
Phone
(951) 288-5271

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 Primary

Addresses

Primary practice location

1499 Blake St Ste 1J
Denver, CO 80202-1356

Mailing address

1499 Blake St Ste 1J
Denver, CO 80202-1356
Phone (951) 288-5271

National Provider Directory

National Provider Directory

Locations

1499 Blake St
Ste 1J
Denver, CO 80202
Phone (951) 288-5271

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": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1316702145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 BLAKE ST STE 1J",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021356",
            "telephone_number": "951-288-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 BLAKE ST STE 1J",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021356",
            "telephone_number": "951-288-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILELAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "DIMITRY",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-288-5271"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.