Smiles 4 Kids Jerome PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SMILES 4 KIDS JEROME PLLC

Practice address

115 East Rose St.
Jerome, ID 83338

Phone

(208) 324-7415

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Leann Sporin

Title

Office Manager

Phone

(208) 734-7415

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Samuel Skinner Upton, D.D.S

  • Dentist
  • Twin Falls, ID
  • NPI 1376901785
  NPD (past)

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1811683097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6075",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833036075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAST ROSE ST.",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "83338",
            "telephone_number": "208-324-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES 4 KIDS JEROME PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "SPORIN",
        "authorized_official_first_name": "LEANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-734-7415"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Sedano-Contreras, LCSW
• Yolanda S. Sedano, PA-C
• Monica Marie Shaff, BAS, CADC
• Lacey Delilah Slade, PTA
• Sme Center Inc.
• Chase Paul Smith
• Justin G Smith, MD
• Diana Evelyn Soares, CRC
• Southern Idaho Medicine PLLC
• Cory Joseph Sowards, MSW, LMSW

• Pediatric Dentistry in Jerome, ID
• Providers in Jerome, ID by specialty
• Pediatric Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.