Simply Smiles, Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

SIMPLY SMILES, INC.

Practice address

27249 Hwy 212
La Plant, SD 57652

Phone

(032) 810-4041

NPI assigned

Dec 18, 2019

Last updated

Nov 16, 2022By 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

Mr. Colter Combellick, MSW, LICSW, CSW -PIPNPI 1447989272

Title

Clinical Coordinator

Phone

(203) 810-4041

Specialties & licenses 2

Addresses

Tax ID family

Simply Smiles Inc2 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.

• Simply Smiles, Inc.

  • Clinical Social Worker
  • La Plant, SD
  • NPI 1063050078
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Simply Smiles, Inc.

  • Clinical Social Worker
  • La Plant, SD
  • NPI 1063050078
  NPPES parent name

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.

• Colter Combellick, MSW, LICSW, CSW-PIP

  • Clinical Social Worker
  • Alexandria, MN
  • NPI 1447989272
  NPD (past) Authorized official

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1649818840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805606",
            "telephone_number": "203-810-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27249 HWY 212",
            "city": "LA PLANT",
            "state": "SD",
            "postal_code": "57652",
            "telephone_number": "032-810-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SMILES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "COMBELLICK",
        "authorized_official_first_name": "COLTER",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "203-810-4041",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LICSW, CSW -PIP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simply Smiles, Inc.

• Foster Care Agency in La Plant, SD
• Providers in La Plant, SD by specialty
• Foster Care Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.