NPIMap

Organization Active NPI

Smiles in Motion, S.C.

  • Pediatric Dentistry
  • Chippewa Falls, WI
National Provider Identifier
1972863397
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5855-015 Issued in WI
Legal business name
SMILES IN MOTION, S.C.
Practice address
583 Lakeland Dr
Chippewa Falls, WI 54729-1689
Phone
(715) 723-2000
Fax
(715) 723-3712
NPI assigned
May 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Miss Jeanette Marie Goodlet
Title
Office Manager
Phone
(715) 723-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 5855-015 WI Primary

Addresses

Primary practice location

583 Lakeland Dr
Chippewa Falls, WI 54729-1689

Mailing address

583 Lakeland Dr
Chippewa Falls, WI 54729-1689

Other identifiers 1

IdentifierTypeStateIssuer
33796700MedicaidWI

Other names 1

  • Smiles in Motion Doing business as

National Provider Directory

National Provider Directory

Locations

583 Lakeland Dr
Chippewa Falls, WI 54729
Phone (715) 723-2000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1972863397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 LAKELAND DR",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 LAKELAND DR",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291689",
            "telephone_number": "715-723-2000",
            "fax_number": "715-723-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES IN MOTION, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "GOODLET",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-723-2000",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "5855-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33796700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles in Motion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.