NPIMap

Organization Active NPI

Smile Smoky Hill, LLC

Doing business as Saddle Rock Pediatric Dentistry

  • Pediatric Dentistry
  • Aurora, CO
National Provider Identifier
1790343853
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SMILE SMOKY HILL, LLC
Doing business as
Saddle Rock Pediatric Dentistry
Practice address
22986 E Smoky Hill Rd
Aurora, CO 80016-1382
Phone
(303) 690-1690
NPI assigned
Jun 4, 2019
Last updated
Jun 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Authorized official

Name
Joshua Erickson, DDS, MSDNPI 1346467206
Title
President
Phone
(719) 439-9476

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

Addresses

Primary practice location

22986 E Smoky Hill Rd
Aurora, CO 80016-1382

Mailing address

5590 Vessey Rd
Colorado Springs, CO 80908-3288

Other names 1

  • Saddle Rock Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

22986 E Smoky Hill Rd
Aurora, CO 80016
Phone (303) 690-1690

Practitioners & affiliated clinicians

Practitioners 4

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": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1790343853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 VESSEY RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809083288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22986 E SMOKY HILL RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161382",
            "telephone_number": "303-690-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SMOKY HILL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-439-9476",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saddle Rock Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.