Organization Active NPI

Smiles4Kids

  • Dentist
  • Montrose, CO
National Provider Identifier
1700044625
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8632 Issued in CO
Legal business name
SMILES4KIDS
Practice address
1601 Oxbow Dr Unit 360-a
Montrose, CO 81401-4781
Phone
(970) 249-8595
Fax
(970) 249-5903
NPI assigned
May 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Mrs. Mary Isabell Holybee
Title
Office Manager
Phone
(970) 249-8595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8632 CO Primary

Addresses

Primary practice location

1601 Oxbow Dr Unit 360-a
Montrose, CO 81401-4781

Mailing address

1601 Oxbow Dr Unit 360-a
Montrose, CO 81401-4781
Phone (970) 249-8595

Other identifiers 1

IdentifierTypeStateIssuer
34872311MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1700044625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 OXBOW DR UNIT 360-A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014781",
            "telephone_number": "970-249-8595",
            "fax_number": "970-249-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 OXBOW DR UNIT 360-A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014781",
            "telephone_number": "970-249-8595",
            "fax_number": "970-249-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES4KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "HOLYBEE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ISABELL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-249-8595",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "8632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34872311",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.