Organization Active NPI

Smile Doctors of Colorado, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greeley, CO
National Provider Identifier
1831938158
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SMILE DOCTORS OF COLORADO, P.C.
Practice address
2021 Clubhouse Dr Ste 110
Greeley, CO 80634-3668
Phone
(970) 330-5363
NPI assigned
May 24, 2024
Organization subpart
Yes
Parent organization
SMILE DOCTORS OF COLORADO, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Scott V. Law, DMD
Title
President
Phone
(719) 569-5715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2021 Clubhouse Dr Ste 110
Greeley, CO 80634-3668

Mailing address

5400 LBJ Fwy Ste 800
Dallas, TX 75240-1058
Phone (719) 252-1860

National Provider Directory

National Provider Directory
Tax ID family
Smile Doctors of Colorado PC12 organizations share this tax ID, including this one
Part of
Smile Doctors of Colorado PC

Other organizations with this tax ID 11

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

Locations

2021 Clubhouse Dr
Ste 110
Greeley, CO 80634
Phone (970) 330-2500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1831938158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LBJ FWY STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401058",
            "telephone_number": "719-252-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CLUBHOUSE DR STE 110",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343668",
            "telephone_number": "970-330-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DOCTORS OF COLORADO, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMILE DOCTORS OF COLORADO, P.C.",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-569-5715",
        "authorized_official_credential": "DMD"
    },
    "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": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.