NPIMap

Organization Active NPI

Smile Company, PLLC

Doing business as Grant Dental Group

  • Dentist
  • Boise, ID
National Provider Identifier
1689047904
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE COMPANY, PLLC
Doing business as
Grant Dental Group
Practice address
6500 W Emerald St
Boise, ID 83704-8736
Phone
(208) 893-5000
Fax
(208) 922-6057
NPI assigned
Nov 9, 2015
Last updated
Oct 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Dr. Scott W. Grant, DMDNPI 1194898767
Title
President
Phone
(208) 888-2000

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary
Dental Hygienist 124Q00000X NU
Dental Assistant 126800000X NU

Addresses

Primary practice location

6500 W Emerald St
Boise, ID 83704-8736

Mailing address

2275 S Eagle Rd Ste 140
Meridian, ID 83642-2620
Phone (208) 888-2000

Other names 1

  • Grant Dental Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1689047904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 S EAGLE RD STE 140",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422620",
            "telephone_number": "208-888-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048736",
            "telephone_number": "208-893-5000",
            "fax_number": "208-922-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE COMPANY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-888-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.