Smiles in Motion of Minnesota PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SMILES IN MOTION OF MINNESOTA PC

Doing business as

Great River Orthodontics
Smiles in Motion

Practice address

2480 White Bear Ave N
Maplewood, MN 55109-5121

Phone

(651) 777-8182

NPI assigned

Feb 6, 2019

Organization subpart

No

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

Authorized official

Name

Steven Kristo, DDS, MS

Title

Owner

Phone

(651) 777-8182

Specialties & licenses 1

Addresses

Other names 2

• Great River Orthodontics Doing business as
• Smiles in Motion Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Brewster Parsons Jr., D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Maplewood, MN
  • NPI 1326113382
  NPD (past)

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1710442413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 OAKWOOD HILLS PKWY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017780",
            "telephone_number": "651-777-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WHITE BEAR AVE N",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095121",
            "telephone_number": "651-777-8182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Hamline Ave N",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551134246",
            "country_code": "US",
            "telephone_number": "651-636-2521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILES IN MOTION OF MINNESOTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "KRISTO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-777-8182",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great River Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great River Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smiles in Motion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary O Skrypek, PT
• Brittany Frances Slattery, APRN CNM
• Barbara A. Slotsve, RN,MS,ACNP
• Smart Choice Transpotation
• Gail Marie Smida, P.T.
• Aynsley D Smith, CNP
• Coreen S Smith, CNP, MS
• Elizabeth Anne Smith, MD
• Megan Kristine Smith
• Stephanie Ernesta Smith, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.