Organization Active NPI

Straight Smile LLC

  • General Practice Dentistry
  • Santa Monica, CA
National Provider Identifier
1699530287
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STRAIGHT SMILE LLC
Practice address
1556 20TH St Ste a
Santa Monica, CA 90404-3466
Phone
(866) 765-2327
NPI assigned
Feb 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Kandy Raguskus
Title
Insurance Manager
Phone
(424) 251-5410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1556 20TH St Ste a
Santa Monica, CA 90404-3466

Mailing address

3301 N Thanksgiving Way Ste 200
Lehi, UT 84043-7070
Phone (866) 765-2327

Other names 1

  • Byte Doing business as

National Provider Directory

National Provider Directory

Locations

3301 N Thanksgiving Way
Ste 200
Lehi, UT 84048

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1699530287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N THANKSGIVING WAY STE 200",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840437070",
            "telephone_number": "866-765-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 20TH ST STE A",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043466",
            "telephone_number": "866-765-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAIGHT SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "RAGUSKUS",
        "authorized_official_first_name": "KANDY",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "424-251-5410"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Byte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.