Usmile Mobile Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28857 Issued in TX

Legal business name

USMILE MOBILE DENTAL GROUP

Practice address

9801 E Colfax Ave
Unit 120
Aurora, CO 80010

Phone

(720) 500-2053

NPI assigned

Apr 24, 2018

Organization subpart

No

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

Authorized official

Name

Maxim V Skormin, DDS

Title

Owner

Phone

(720) 500-2053

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1508354739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 E COLFAX AVE STE 120",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800102155",
            "telephone_number": "720-500-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 E COLFAX AVE",
            "address_2": "UNIT 120",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80010",
            "telephone_number": "720-500-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USMILE MOBILE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "SKORMIN",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-500-2053",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Leroy Usel, DC
• Tatiana Usher
• Grace Ushindi
• Rachel J Uslan, MSW
• Usmile Dental Group, PC
• Usv Optical Inc
• Usv Optical Inc.
• Jacqueline Elise Uthlaut, MD
• Utilize ABA LLC
• Utkisa Inpatient Services

• General Practice Dentistry in Aurora, CO
• Providers in Aurora, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.