Organization Active NPI

Smile Studio Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Denver, CO
National Provider Identifier
1972776102
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8530 Issued in CO
Legal business name
SMILE STUDIO ORTHODONTICS
Practice address
390 S. Dayton St.
Denver, CO 80247
Phone
(720) 815-3540
NPI assigned
Apr 9, 2008
Organization subpart
Yes
Parent organization
WATTS ORTHODONTICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Dr. Chad M. Watts, DMD
Title
Owner
Phone
(720) 780-0865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 8530 CO Primary

Addresses

Primary practice location

390 S. Dayton St.
Denver, CO 80247

Mailing address

10450 S. Progress Way Suite 100
Parker, CO 80134
Phone (720) 780-0865

Other identifiers 1

IdentifierTypeStateIssuer
35806044MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Smile Studio Orthodontics2 organizations share this tax ID, including this one
Part of
Watts Orthodontics PC

Other organizations with this tax ID 1

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

Locations

10450 S Progress Way
Unit 100
Parker, CO 80134
Phone (720) 780-0865

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1972776102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 S. PROGRESS WAY SUITE 100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "720-780-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S. DAYTON ST.",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80247",
            "telephone_number": "720-815-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STUDIO ORTHODONTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WATTS ORTHODONTICS PC",
        "enumeration_date": "2008-04-09",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-780-0865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "8530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35806044",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.