Smile Aurora Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00202980 Issued in CO

Legal business name

SMILE AURORA DENTAL

Practice address

2900 S Peoria St Ste a
Aurora, CO 80014-3182

Phone

(310) 562-9585

Fax

(303) 368-3631

NPI assigned

Jul 28, 2016

Organization subpart

No

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

Authorized official

Name

Hana Kim, D.D.S.

Title

President

Phone

(310) 562-9585

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1659824373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S PEORIA ST STE A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143182",
            "telephone_number": "303-368-3636",
            "fax_number": "303-368-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S PEORIA ST STE A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143182",
            "telephone_number": "310-562-9585",
            "fax_number": "303-368-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE AURORA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-562-9585",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00202980",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "59646",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "00202980",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720393846",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smartcare Operations Group, Inc. (SmartCare Family Medical Centers)
• Smartcare Operations Group, Inc. (SmartCare Family Medical Centers)
• Jennifer Marie Smedley, DO
• Smi Imaging LLC (Simonmed Imaging Aurora)
• Smile 5 Professionals LLC (Comfort Dental Braces)
• Smile Dental 4 Kids
• Smile Galaxy Dental PLLC
• Smile Smoky Hill, LLC (Saddle Rock Pediatric Dentistry)
• Smile With Care Dental of Colorado
• Smilematic, PLLC (Smilematic Dental)

• General Practice Dentistry in Aurora, CO
• Providers in Aurora, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.