Children's Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHILDREN'S DENTISTRY LLC

Doing business as

Braces Wyoming
The Smile Academy

Practice address

6900 Yellowtail Rd Ste 100
Cheyenne, WY 82009-6102

Phone

(307) 635-9251

Fax

(307) 635-9218

NPI assigned

May 21, 2007

Last updated

Mar 31, 2024By 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

Molly Cantine

Title

Insurance Coordinator

Phone

(307) 635-9251

Specialties & licenses 5

Addresses

Other names 2

• Braces Wyoming Doing business as
• The Smile Academy Doing business as

Tax ID family

Braces Wyoming2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Children's Dentistry LLC

  dba The Smile Academy

  • Pediatric Dentistry
  • Greeley, CO
  • NPI 1841863248
  NPD tax ID

Locations

Practitioners 6

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.

• Erin Asay, DDS

  • Dentist
  • Cheyenne, WY
  • NPI 1851723860
  NPD (past)
• Michael V. Clark, DDS

  • Pediatric Dentistry
  • Cheyenne, WY
  • NPI 1386778520
  NPD (past)
• Patricia Genho

  • Dentist
  • Cheyenne, WY
  • NPI 1154550028
  NPD (past)
• Matthew Gary Wold, DMD

  • Pediatric Dentistry
  • Casper, WY
  • NPI 1891218392
  NPD (past)
• Lauren Ann Allen, DMD

  • Dentist
  • Greeley, CO
  • NPI 1528461399
  NPD (past)
• Michael Glenn Bingham, DMD

  • Pediatric Dentistry
  • Billings, MT
  • NPI 1609896851
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711843200000",
    "number": "1649488743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 YELLOWTAIL RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820096102",
            "telephone_number": "307-635-9251",
            "fax_number": "307-635-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 YELLOWTAIL RD STE 100",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820096102",
            "telephone_number": "307-635-9251",
            "fax_number": "307-635-9218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Yellowtail Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820096102",
            "country_code": "US",
            "telephone_number": "307-638-8958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5040 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826094467",
            "country_code": "US",
            "telephone_number": "307-462-3752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 Harney St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820720001",
            "country_code": "US",
            "telephone_number": "307-742-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A",
        "authorized_official_last_name": "CANTINE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "307-635-9251"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WY",
            "license": "1108",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WY",
            "license": "1040",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braces Wyoming",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Smile Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheyenne Womens Clinic,PC
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• Jessica Chico
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• Children's Hospital Colorado (Children's Colorado Regional Outreach Clinic - Cheyenne - CCC)
• Children's Therapy Group, LLC
• Jason Chin
• Chiroplus
• Chiropractic Sports & Wellness PC

• Pediatric Dentistry in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Pediatric Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; 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.