NPIMap

Organization Active NPI

Silver City Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Silver City, NM
National Provider Identifier
1740758028
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SILVER CITY ORTHODONTICS LLC
Doing business as
Silver City Orthodontics
Practice address
1340 E 32ND St
Silver City, NM 88061-7252
Phone
(928) 428-5555
NPI assigned
Nov 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Dr. Bradley R. Smith, DMD, DHSCNPI 1043595259
Title
Owner
Phone
(480) 612-7115

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1340 E 32ND St
Silver City, NM 88061-7252

Mailing address

1455 S 20TH Ave
Safford, AZ 85546-4053
Phone (928) 428-5555

Other names 1

  • Silver City Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1455 S 20th Ave
Safford, AZ 85546
Phone (928) 428-5555

Practitioners & affiliated clinicians

Practitioners 2

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": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1740758028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464053",
            "telephone_number": "928-428-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617252",
            "telephone_number": "928-428-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CITY ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-612-7115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, DHSC"
    },
    "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": "Silver City Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver City, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.