All About Smiles Dental Clinic

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D5033 Issued in OR

Legal business name

ALL ABOUT SMILES DENTAL CLINIC

Practice address

200 6TH St
Umatilla, OR 97882-3004

Phone

(541) 922-4561

Fax

(541) 922-2317

NPI assigned

Dec 19, 2016

Last updated

Dec 19, 2016By 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. Joann Carr

Title

Office Manager

Phone

(541) 922-4561

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Robert S Carr DMD Former legal business name

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.

• Robert Sterling Carr, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Umatilla, OR
  • NPI 1457358251
  NPD (past)

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1609310127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1133",
            "city": "UMATILLA",
            "state": "OR",
            "postal_code": "978821133",
            "telephone_number": "541-922-4561",
            "fax_number": "541-922-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 6TH ST",
            "city": "UMATILLA",
            "state": "OR",
            "postal_code": "978823004",
            "telephone_number": "541-922-4561",
            "fax_number": "541-922-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT SMILES DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-922-4561",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D5033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048074",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert S Carr DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michelle Adams
• Marlena Marie Aguiar, M.A., LMHC, NCC
• Bethany Aldrich
• Adilene Aravjo
• Daisy Armenta
• Alexus Madison Avila
• Shannon Lee Avila
• Jamie E Bailey, REGISTERED NURSE

• Dental Clinic/Center in Umatilla, OR
• Providers in Umatilla, OR by specialty
• Dental Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.