Justin M. Smutz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN-10766 Issued in CO

Practice address

11890 W 64TH Ave
Arvada, CO 80004-4324

Phone

(303) 422-0094

NPI assigned

Jun 28, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Dental Sleep Medicine,Inc

  • Customized Equipment (DME)
  • Fort Collins, CO
  • NPI 1932527256
  NPD (past)

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1851655427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11890 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044324",
            "telephone_number": "303-422-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044324",
            "telephone_number": "303-422-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMUTZ",
        "first_name": "JUSTIN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN-10766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Lee Smith, PA
• Stephanie May Smith, PA
• Andee Mae Smits, C.M.T.
• John R Smolley Jr., MD
• Aimee Lynne Smookler, M.A., CCC-SLP
• Elena Margareta Buse Snitzer
• Gina Marie Snyder, M.A., CCC-A
• Soar Health (Soar Autism Center)
• Soar Health (Soar Autism Center)
• Lileya Sobechko

• General Practice Dentistry in Arvada, CO
• Providers in Arvada, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.