NPIMap

Organization Active NPI

Great Smiles LTD.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Parker, CO
National Provider Identifier
1972848448
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8727 Issued in CO
Legal business name
GREAT SMILES LTD.
Practice address
17021 E Lincoln Ave
Suite a
Parker, CO 80134
Phone
(303) 694-1711
NPI assigned
Dec 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Dr. William Douglas Beaber, DMD
Title
Doctor
Phone
(303) 465-4487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 8727 CO Primary

Addresses

Primary practice location

17021 E Lincoln Ave
Suite a
Parker, CO 80134

Mailing address

17021 Lincoln Ave Unit a
Parker, CO 80134-3146
Phone (303) 465-4487

Other names 1

  • Great Smiles of Parker Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Great Smiles LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1972848448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17021 LINCOLN AVE UNIT A",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343146",
            "telephone_number": "303-465-4487",
            "fax_number": "303-694-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17021 E LINCOLN AVE",
            "address_2": "SUITE A",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "303-694-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SMILES LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "BEABER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "303-465-4487",
        "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": "8727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Smiles of Parker",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.