Shoff Smiles, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHOFF SMILES, PC

Doing business as

Iconic Dental

Practice address

624 Main St
Walsenburg, CO 81089

Phone

(719) 695-1044

Fax

(719) 695-1006

NPI assigned

May 31, 2019

Last updated

May 21, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathan Heywood, DDSNPI 1619329448

Title

Owner Doctor

Phone

(719) 695-1044

Specialties & licenses 1

Addresses

Other names 1

• ICONIC DENTAL Doing business as

Locations

Practitioners 1

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.

• Nathan Heywood, DDS

  • Dentist
  • Walsenburg, CO
  • NPI 1619329448
  Authorized official Same address or phone

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1861050221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 MAIN ST",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "81089",
            "telephone_number": "719-695-1044",
            "fax_number": "719-695-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 MAIN ST",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "81089",
            "telephone_number": "719-695-1044",
            "fax_number": "719-695-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOFF SMILES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "HEYWOOD",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "719-695-1044",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICONIC DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Qualicenters Pueblo, LLC (Qualicenters Walsenburg)
• Rocky Mountain Clinics LLC
• Sangre de Cristo Community Care
• Barbara Jean Sargent, CCC-SLP
• Seventh Day Assisted Living
• James Shoff, DMD
• Southern Colorado Developmental Disabilities Services, Inc
• Rhonda Thibault-Lloyd, PT
• Barbara Jo Trujillo, RN
• Amy Nicole Vallejos, CCC-SLP

• General Practice Dentistry in Walsenburg, CO
• Providers in Walsenburg, 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 May 21, 2026; 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.