Smiles for Special Needs

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

SMILES FOR SPECIAL NEEDS

Practice address

2424 E Southern Ave
Mesa, AZ 85204-5409

Phone

(480) 227-8373

NPI assigned

Mar 16, 2022

Organization subpart

No

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

Authorized official

Name

Suzan Miles

Title

Owner

Phone

(480) 227-8373

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Smiles for Special Needs LLC Former legal business name

Tax ID family

Smiles for Special Needs4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Smiles for Special Needs

  • Occupational Medicine Clinic/Center
  • Mesa, AZ
  • NPI 1265147672
  NPD tax ID
• Smiles for Special Needs

  • Hearing and Speech Clinic/Center
  • Mesa, AZ
  • NPI 1821710906
  NPD tax ID
• Smiles for Special Needs

  • Physical Therapy Clinic/Center
  • Mesa, AZ
  • NPI 1821780321
  NPD tax ID

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1972251031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045409",
            "telephone_number": "480-227-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045409",
            "telephone_number": "480-227-8373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 E Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852045409",
            "country_code": "US",
            "telephone_number": "480-227-8373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILES FOR SPECIAL NEEDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-227-8373"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631359",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles for Special Needs LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Smiles Trauma Recovery LLC
• Mariah Amber Smiley
• Smith & Engel Dentistry
• Smith Behavioral Health, P.C.
• Smith Multi-Care PLC

• Developmental Disabilities Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Developmental Disabilities Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.