NPIMap

Organization Active NPI

Outreach for Smiles of Colorado, PLLC

  • Dental Hygienist
  • Universal City, TX
National Provider Identifier
1619237633
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
906556 Issued in CO
Legal business name
OUTREACH FOR SMILES OF COLORADO, PLLC
Practice address
8519 Collingwood
Universal City, TX 78148-2849
Phone
(210) 412-5798
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Lorraine San Miguel, RDHNPI 1811257827
Title
Owner
Phone
(210) 412-5798

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 HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 906556 CO Primary

Addresses

Primary practice location

8519 Collingwood
Universal City, TX 78148-2849

Mailing address

8519 Collingwood
Universal City, TX 78148-2849
Phone (210) 412-5798

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": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1619237633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8519 COLLINGWOOD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781482849",
            "telephone_number": "210-412-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8519 COLLINGWOOD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781482849",
            "telephone_number": "210-412-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH FOR SMILES OF COLORADO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "SAN MIGUEL",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-412-5798",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "906556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Universal City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.