Smile Three Professionals

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D10220 Issued in CO

Legal business name

SMILE THREE PROFESSIONALS

Practice address

9990 W 26TH Ave
Garden Level
Lakewood, CO 80215-1581

Phone

(303) 202-0880

NPI assigned

Dec 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Brian James Diemer, DMD,MSNPI 1033346275

Title

Owner

Phone

(303) 202-0880

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Brian James Diemer, D.M.D., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakewood, CO
  • NPI 1033346275
  Authorized official Same address or phone

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1649715897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 W 26TH AVE",
            "address_2": "GARDEN LEVEL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151581",
            "telephone_number": "303-202-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 W 26TH AVE",
            "address_2": "GARDEN LEVEL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151581",
            "telephone_number": "303-202-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE THREE PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "DIEMER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-202-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "D10220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97109053",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Small, LCSW
• Alexandra Smart
• Smartcare Operations Group, Inc. (SmartCare Family Medical Centers)
• Taylor Ann Smietanski I, OTR
• Smile Three Professionals (Comfort Dental Braces)
• Cailey Smiley
• Catherine Smiley, LPC
• Amie P. Smith, M.A., CCC-A
• Arielle Smith, PA-C
• Borden R Smith, DC

• Orthodontics and Dentofacial Orthopedics Dentistry in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.