Organization Active NPI

Great Smiles LTD

Doing business as Great Smiles of Westminster

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westminster, CO
National Provider Identifier
1811224520
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8727 Issued in CO
Legal business name
GREAT SMILES LTD
Doing business as
Great Smiles of Westminster
Practice address
5140 W 120TH Ave
Suite #200
Westminster, CO 80020-3307
Phone
(303) 464-9300
Fax
(303) 694-1911
NPI assigned
Nov 17, 2009
Last updated
Feb 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Authorized official

Name
Dr. William Douglas Beaber, DMD
Title
Orthodontist
Phone
(303) 464-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8727 CO Primary

Addresses

Primary practice location

5140 W 120TH Ave
Suite #200
Westminster, CO 80020-3307

Mailing address

5140 W 120TH Ave
Suite #200
Westminster, CO 80020-3307
Phone (303) 464-9300

Other names 1

  • Great Smiles of Westminster Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Great Smiles LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

5140 W 120th Ave
Unit 200
Westminster, CO 80020
Phone (303) 464-9300

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1811224520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 W 120TH AVE",
            "address_2": "SUITE #200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800203307",
            "telephone_number": "303-464-9300",
            "fax_number": "303-694-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 W 120TH AVE",
            "address_2": "SUITE #200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800203307",
            "telephone_number": "303-464-9300",
            "fax_number": "303-694-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SMILES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "BEABER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "303-464-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "8727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Smiles of Westminster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.