Awesome Smiles, P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

AWESOME SMILES, P.C.

Practice address

2700 Madison Square Dr
Loveland, CO 80538-3385

Phone

(970) 669-1122

Fax

(970) 669-1984

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tobias M. Derloshon, D.D.S.NPI 1699803189

Title

President

Phone

(970) 669-1122

Specialties & licenses 1

Addresses

Other names 1

• Awesome Pedodontics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tobias M. Derloshon, D.D.S.

  • Pediatric Dentistry
  • Arvada, CO
  • NPI 1699803189
  NPD Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1609904101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 MADISON SQUARE DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383385",
            "telephone_number": "970-669-1122",
            "fax_number": "970-669-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MADISON SQUARE DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383385",
            "telephone_number": "970-669-1122",
            "fax_number": "970-669-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWESOME SMILES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "DERLOSHON",
        "authorized_official_first_name": "TOBIAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-669-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awesome Pedodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marissa Erin Backhaus, PA
• Brooke Badberg, LAC, MA

• Pediatric Dentistry in Loveland, CO
• Providers in Loveland, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.