Smiles for Life, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

46 Issued in CA

Legal business name

SMILES FOR LIFE, INC

Practice address

1803 First Street
Susanville, CA 96130

Phone

(530) 257-9640

Fax

(530) 257-9640

NPI assigned

Jan 7, 2008

Last updated

Jan 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jeannie Huber, RDHAPNPI 1225226061

Title

Ceo

Phone

(530) 257-9640

Specialties & licenses 1

Addresses

Tax ID family

Smiles for Life Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Smiles for Life, Inc

  • Dental Hygienist
  • Susanville, CA
  • NPI 1235285826
  NPD tax ID

Locations

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.

• Jeannie Huber, RDHAP

  • Dental Hygienist
  • Susanville, CA
  • NPI 1225226061
  NPD (past) Authorized official

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1407031685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 FIRST STREET",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "96130",
            "telephone_number": "530-257-9640",
            "fax_number": "530-257-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 FIRST STREET",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "96130",
            "telephone_number": "530-257-9640",
            "fax_number": "530-257-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES FOR LIFE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-257-9640",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra ER Department Physicians Medical Group Inc.
• Sierra Medical Services Alliance
• Heidi Simon, ASW 101843
• Kyle James Simpson, DDS
• Smiles for Life, Inc
• Alexandra Smith
• Carmel Smith
• Gary Lyle Smith, CRNA
• Maisha Jeanette Smith, DNP
• Jessica Smyth

• Dental Clinic/Center in Susanville, CA
• Providers in Susanville, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.