Smiles 4 Kids P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

8647 Issued in CO

Legal business name

SMILES 4 KIDS P.C.

Practice address

2400 W. 16TH Street
Suite a
Greeley, CO 80634

Phone

(970) 395-1000

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Madison Lehman

Title

Credentialing Specialist

Phone

(720) 603-4779

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1962772657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W. 16TH STREET",
            "address_2": "SUITE A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W. 16TH STREET",
            "address_2": "SUITE A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80634",
            "telephone_number": "970-395-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES 4 KIDS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "720-603-4779"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "8647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammie Jo Smeltzer, LPCC
• Smile Bar LLC
• Smile Doctors of Colorado, P.C.
• Smile Eight Professionals LLC
• Smile Tec
• Smith Chiropractic Offices, P.C.
• Kathy Elisa Smith-Stillson, RN
• Alexandra Smith
• Amy Nicole Smith
• Andrew Smith, PSY.D

• Dentist in Greeley, CO
• Providers in Greeley, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.