Aesthetic Smiles P LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4225 Issued in ID

Legal business name

AESTHETIC SMILES P LLC

Doing business as

Alpine Heights Dentistry

Practice address

2015 N Locust Grove Rd
Meridian, ID 83646-1827

Phone

(208) 888-1802

Fax

(208) 887-3908

NPI assigned

May 8, 2017

Last updated

May 8, 2017By 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

Teresa Lechuga

Title

Office Manager

Phone

(208) 888-1802

Specialties & licenses 1

Addresses

Other names 1

• Alpine Heights Dentistry Doing business as

Tax ID family

Aesthetic Smiles2 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.

• Aesthetic Smiles

  • General Practice Dentistry
  • Meridian, ID
  • NPI 1164684312
  NPD tax ID

Locations

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1700312907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 N LOCUST GROVE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461827",
            "telephone_number": "208-888-1802",
            "fax_number": "208-887-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 N LOCUST GROVE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461827",
            "telephone_number": "208-888-1802",
            "fax_number": "208-887-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC SMILES P LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "LECHUGA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-888-1802"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Heights Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Prosthetics and Orthotics LLC (Kormylo Orthopedic)
• Advanced PT LLC (Preferred PT Cherry Lane)
• Advantage Dental Center
• Aegis Group Practice LLC
• Aesthetic Smiles
• Ageless Women's Health Id LLC
• Yelizaveta Agiy
• Ann C Agnew, MD
• Melissa M. M. Agoudemos, M.D.
• Phillip C Agrusa, MD

• General Practice Dentistry in Meridian, ID
• Providers in Meridian, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.