NPIMap

Organization Active NPI

Delta Smiles

Doing business as Cortez Smiles

  • General Practice Dentistry
  • St George, UT
National Provider Identifier
1952547838
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN-9426 Issued in CO
Legal business name
DELTA SMILES
Doing business as
Cortez Smiles
Practice address
437 S Bluff St
Ste 102
St George, UT 84770-3592
Phone
(435) 688-2772
NPI assigned
Dec 26, 2008
Last updated
Oct 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Jared Staples, DMD
Title
Owner / Dentist
Phone
(970) 560-9005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN-9426 CO Primary

Addresses

Primary practice location

437 S Bluff St
Ste 102
St George, UT 84770-3592

Mailing address

934 W 1500 S
Hurricane, UT 84737-2559
Phone (970) 560-9005

Other names 1

  • Cortez Smiles Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1952547838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 W 1500 S",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847372559",
            "telephone_number": "970-560-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S BLUFF ST",
            "address_2": "STE 102",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703592",
            "telephone_number": "435-688-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-26",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "STAPLES",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "970-560-9005",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN-9426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cortez Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.