Organization Active NPI

Growing Smiles, LLC

Doing business as Sunny Hills Pediatric Dentistry

  • Pediatric Dentistry
  • Austin, TX
National Provider Identifier
1710741673
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
GROWING SMILES, LLC
Doing business as
Sunny Hills Pediatric Dentistry
Practice address
11149 Research Blvd Ste 270
Austin, TX 78759-5227
Phone
(208) 690-0367
NPI assigned
Feb 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Dr. Jamie Fairchild, DMDNPI 1932353828
Title
Ceo
Phone
(208) 690-0367

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

11149 Research Blvd Ste 270
Austin, TX 78759-5227

Mailing address

10510 W Parmer LN Ste 100
Austin, TX 78717-4876
Phone (512) 265-5900

Other names 1

  • Sunny Hills Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

10510 W Parmer Ln
Ste 100
Austin, TX 78717
Phone (512) 218-1500

Practitioners & affiliated clinicians

Practitioners 1

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": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1710741673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 W PARMER LN STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174876",
            "telephone_number": "512-265-5900",
            "fax_number": "512-256-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11149 RESEARCH BLVD STE 270",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595227",
            "telephone_number": "208-690-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "FAIRCHILD",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-690-0367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Hills Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.