Organization Active NPI

Great Smiles Dentistry, LLC

Doing business as Great Smiles at Sunrise Dental

  • Dental Clinic/Center
  • Boulder, CO
National Provider Identifier
1649733585
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GREAT SMILES DENTISTRY, LLC
Doing business as
Great Smiles at Sunrise Dental
Practice address
1656 30TH St
Boulder, CO 80301-1014
Phone
(303) 444-4922
NPI assigned
Apr 8, 2019
Last updated
Apr 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Mrs. Maya Q Turner
Title
Coo
Phone
(303) 542-0288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1656 30TH St
Boulder, CO 80301-1014

Mailing address

2525 Arapahoe Ave Ste E4-907
Boulder, CO 80302-6720
Phone (303) 542-0288

Other names 1

  • Great Smiles at Sunrise Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1656 30th St
Boulder, CO 80301
Phone (303) 444-4922

2525 Arapahoe Ave
Ste E4907
Boulder, CO 80302

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": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1649733585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 ARAPAHOE AVE STE E4-907",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026720",
            "telephone_number": "303-542-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 30TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011014",
            "telephone_number": "303-444-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SMILES DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "MAYA",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "303-542-0288",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Smiles at Sunrise Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.