NPIMap

Organization Active NPI

Healthy Smiles Shine, LLC

  • Dental Hygienist
  • Parker, CO
National Provider Identifier
1649676149
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
903983 Issued in CO
Legal business name
HEALTHY SMILES SHINE, LLC
Practice address
19541 E Parker Square Dr
Parker, CO 80134-7393
Phone
(303) 808-3209
NPI assigned
Nov 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Elizabeth Miller, RDHNPI 1932590288
Title
Owner/Operator
Phone
(303) 808-3209

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 903983 CO Primary

Addresses

Primary practice location

19541 E Parker Square Dr
Parker, CO 80134-7393

Mailing address

19541 E Parker Square Dr
Parker, CO 80134-7393
Phone (303) 808-3209

Other names 1

  • Healthy Smiles Shine Doing business as

National Provider Directory

National Provider Directory

Locations

19541 E Parker Square Dr
Parker, CO 80134
Phone (303) 808-3209

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1649676149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19541 E PARKER SQUARE DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347393",
            "telephone_number": "303-808-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19541 E PARKER SQUARE DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347393",
            "telephone_number": "303-808-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES SHINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "303-808-3209",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "903983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smiles Shine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.