Organization Active NPI

Unlimited Smiles

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1760785778
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
UNLIMITED SMILES
Practice address
4805 West Thomas
Suite #a
Phoenix, AZ 85031
Phone
(602) 269-5914
Fax
(602) 269-0083
NPI assigned
Dec 13, 2010
Last updated
Oct 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Ms. Blanca Casillas
Title
Vice President
Phone
(925) 300-3992

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary
General Practice Dentistry 1223G0001X
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

Addresses

Primary practice location

4805 West Thomas
Suite #a
Phoenix, AZ 85031

Mailing address

1844 San Miguel Dr Ste 208
Walnut Creek, CA 94596-4913
Phone (925) 300-3992

National Provider Directory

National Provider Directory
Tax ID family
Smiles Makers Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1760785778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 208",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964913",
            "telephone_number": "925-300-3992",
            "fax_number": "925-952-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 WEST THOMAS",
            "address_2": "SUITE #A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85031",
            "telephone_number": "602-269-5914",
            "fax_number": "602-269-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "CASILLAS",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "925-300-3992",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.