Ticket to Smiles PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9177 Issued in CO

Legal business name

TICKET TO SMILES PC

Doing business as

Ticket to Smiles Children's Dental Center

Practice address

12373 E Cornell Ave # 16
Aurora, CO 80014-3323

Phone

(303) 750-7750

NPI assigned

Jun 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Andrew T Nguyen, DDSNPI 1508948019

Title

President

Phone

(303) 750-7750

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ticket to Smiles Children's Dental Center Doing business as

Locations

Practitioners 1

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

• Andrew Tuong-Linh Nguyen, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Aurora, CO
  • NPI 1508948019

  Pediatric Dentistry

  NPD (past) Authorized official

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1376702787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12373 E CORNELL AVE # 16",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143323",
            "telephone_number": "303-750-7750",
            "fax_number": "303-750-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12373 E CORNELL AVE # 16",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143323",
            "telephone_number": "303-750-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TICKET TO SMILES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-750-7750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "9177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77123816",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ticket to Smiles Children's Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Lynn Thurston, PT, DPT, GCS
• Jessica Thysens, PA-C
• Emily Tibbels
• Julieann Tibbetts, PNP
• Whitney Tice, FNP-C
• Diana Tidler, DO
• Zackary James Tidwell, BA
• Carly Marie Tiedke, PA-C
• James Shaffer Tien, LMT
• Nai Chieh Tien, PH.D

• Pediatric Dentistry in Aurora, CO
• Providers in Aurora, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.