Organization Active NPI

Salida Smiles

  • Dentist
  • Aurora, CO
National Provider Identifier
1467845834
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SALIDA SMILES
Practice address
3464 N. Salida St.
Unit B
Aurora, CO 80011
Phone
(303) 307-4471
Fax
(303) 307-9999
NPI assigned
Mar 10, 2015
Organization subpart
Yes
Parent organization
A2KAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Dr. Andre Gillespie
Title
Dentist/ Owner
Phone
(303) 307-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3464 N. Salida St.
Unit B
Aurora, CO 80011

Mailing address

3471 N Salida CT
Suite 40
Aurora, CO 80011-5020
Phone (303) 307-9999

Other identifiers 1

IdentifierTypeStateIssuer
60023333MedicaidCO

National Provider Directory

National Provider Directory

Locations

3471 N Salida CT
Ste 40
Aurora, CO 80011

3464 N Salida St
Ste B
Aurora, CO 80011
Phone (303) 307-9999

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1467845834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 N SALIDA CT",
            "address_2": "SUITE 40",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800115020",
            "telephone_number": "303-307-9999",
            "fax_number": "303-307-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 N. SALIDA ST.",
            "address_2": "UNIT B",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80011",
            "telephone_number": "303-307-4471",
            "fax_number": "303-307-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIDA SMILES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A2K",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "303-307-9999",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60023333",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.