NPIMap

Organization Active NPI

All About Smiles, LLC

  • Dental Hygienist
  • Gypsum, CO
National Provider Identifier
1346697513
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
904264 Issued in CO
Legal business name
ALL ABOUT SMILES, LLC
Practice address
620 D Red Table Dr
Gypsum, CO 81637
Phone
(970) 819-0370
Fax
(970) 524-1107
NPI assigned
May 18, 2016
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Suprena L Crawford, RDHNPI 1649680232
Title
Owner
Phone
(970) 819-0370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 904264 CO Primary

Addresses

Primary practice location

620 D Red Table Dr
Gypsum, CO 81637

Mailing address

620 D Red Table Dr
Gypsum, CO 81637
Phone (970) 819-0370

Other identifiers 1

IdentifierTypeStateIssuer
28720067MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1346697513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 D RED TABLE DR",
            "city": "GYPSUM",
            "state": "CO",
            "postal_code": "81637",
            "telephone_number": "970-819-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 D RED TABLE DR",
            "city": "GYPSUM",
            "state": "CO",
            "postal_code": "81637",
            "telephone_number": "970-819-0370",
            "fax_number": "970-524-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "SUPRENA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-819-0370",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "904264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28720067",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gypsum, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.