Organization Active NPI

SML Dental Group

Doing business as Hancock Family Dentistry

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1730542150
Registry record updated Apr 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
201804 Issued in CO
Legal business name
SML DENTAL GROUP
Doing business as
Hancock Family Dentistry
Practice address
2810 S Academy Blvd
Suite 130
Colorado Springs, CO 80916-3055
Phone
(719) 418-2456
Fax
(719) 247-8925
NPI assigned
Apr 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2016

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

Authorized official

Name
Dr. Somi M Lim, DDSNPI 1518213297
Title
Owner/Dentist
Phone
(719) 418-2456

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 201804 CO Primary

Addresses

Primary practice location

2810 S Academy Blvd
Suite 130
Colorado Springs, CO 80916-3055

Mailing address

2810 S Academy Blvd
Suite 130
Colorado Springs, CO 80916-3055
Phone (719) 418-2456

Other names 1

  • Hancock Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2810 S Academy Blvd
Ste 130
Colorado Springs, CO 80916
Phone (719) 418-2456

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459555200000",
    "number": "1730542150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 S ACADEMY BLVD",
            "address_2": "SUITE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809163055",
            "telephone_number": "719-418-2456",
            "fax_number": "719-247-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 S ACADEMY BLVD",
            "address_2": "SUITE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809163055",
            "telephone_number": "719-418-2456",
            "fax_number": "719-247-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SML DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-02",
        "last_updated": "2016-04-02",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "SOMI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "719-418-2456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "201804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2016; 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.