Organization Active NPI

We Create Smiles II, LLC

  • Dentist
  • Middletown, CT
National Provider Identifier
1861888208
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
007660 Issued in CT
Legal business name
WE CREATE SMILES II, LLC
Practice address
80 S Main St
Unit 203
Middletown, CT 06457-3648
Phone
(860) 346-6872
Fax
(860) 346-6879
NPI assigned
Apr 13, 2015
Last updated
Apr 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Laura Ann Miller Cozean, DDS
Title
Owner
Phone
(203) 245-9607

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 007660 CT Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

80 S Main St
Unit 203
Middletown, CT 06457-3648

Mailing address

80 S Main St
Unit 203
Middletown, CT 06457-3648
Phone (860) 346-6872

Other identifiers 1

IdentifierTypeStateIssuer
002076603MedicaidCT

Other names 1

  • Laura A Miller, DDS Other name

National Provider Directory

National Provider Directory

Locations

80 S Main St
Ste 203
Middletown, CT 06457
Phone (860) 346-6872

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1861888208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST",
            "address_2": "UNIT 203",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573648",
            "telephone_number": "860-346-6872",
            "fax_number": "860-346-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST",
            "address_2": "UNIT 203",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573648",
            "telephone_number": "860-346-6872",
            "fax_number": "860-346-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE CREATE SMILES II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "MILLER COZEAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-245-9607",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "007660",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002076603",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laura A Miller, DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.