Organization Active NPI

Cortez Smiles, PC

  • General Practice Dentistry
  • Cortez, CO
National Provider Identifier
1730410820
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CORTEZ SMILES, PC
Practice address
217 W Main St
Cortez, CO 81321-3135
Phone
(970) 565-5457
Fax
(970) 565-2496
NPI assigned
Jan 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
Jared Staples
Title
President
Phone
(970) 560-9005

Specialties & licenses 1

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

Addresses

Primary practice location

217 W Main St
Cortez, CO 81321-3135

Mailing address

217 W Main St
Cortez, CO 81321-3135
Phone (970) 565-5457

National Provider Directory

National Provider Directory

Locations

217 W Main St
Cortez, CO 81321
Phone (970) 565-5457

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1730410820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W MAIN ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213135",
            "telephone_number": "970-565-5457",
            "fax_number": "970-565-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W MAIN ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813213135",
            "telephone_number": "970-565-5457",
            "fax_number": "970-565-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTEZ SMILES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "STAPLES",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-560-9005"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.