Smiles on Belmont LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILES ON BELMONT LLC

Practice address

3418 SE Belmont St
Portland, OR 97214-4247

Phone

(503) 236-3706

NPI assigned

Jan 21, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Cody Charron, DMD

Title

Owner

Phone

(541) 619-6218

Specialties & licenses 3

Addresses

Practitioners 1

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

• Clifford L Brock, D.M.D.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1275531915
  NPD (past)

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1356815518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 AVALON DR UNIT 20",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319585",
            "telephone_number": "541-619-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 SE BELMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144247",
            "telephone_number": "503-236-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES ON BELMONT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "CHARRON",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-619-6218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Smeck, LCSW
• Duane L Smelser, HAS
• Rebecca Ann Smessaert, RD, LD, CD
• Caitlin Smigelski
• Smilecraft Dentures LLC
• Smiles on Sandy P.C.
• Abbey Smiley, MD
• Clayton M Smiley, MD
• Gail R Smiley, M.S, L.P.C.
• Rebekah Noel Smiley

• Dentist in Portland, OR
• Providers in Portland, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.