Active NPI
Smile Studio Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Denver, CO
National Provider Identifier
1972776102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 8530
- 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 PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35806044 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Smile Studio Orthodontics
- 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Parker, CO
- NPI 1730362054
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.