Organization Active NPI

Smiles, LLC

  • Dental Hygienist
  • Aspen, CO
National Provider Identifier
1447621297
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2108 Issued in CO
Legal business name
SMILES, LLC
Practice address
163 Forge Rd Unit 104
Aspen, CO 81611-6115
Phone
(970) 925-2112
NPI assigned
Oct 19, 2015
Last updated
Oct 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Authorized official

Name
Cheryl EricksonNPI 1437542586
Title
Owner
Phone
(970) 925-2112

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 Hygienist 124Q00000X 2108 CO Primary

Addresses

Primary practice location

163 Forge Rd Unit 104
Aspen, CO 81611-6115

Mailing address

163 Forge Rd Unit 104
Aspen, CO 81611-6115
Phone (970) 925-2112

Other identifiers 1

IdentifierTypeStateIssuer
1437542586OtherCONPI TYPE 1

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": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1447621297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 FORGE RD UNIT 104",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816116115",
            "telephone_number": "970-925-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 FORGE RD UNIT 104",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816116115",
            "telephone_number": "970-925-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-925-2112"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "2108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1437542586",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.