Organization Active NPI

Smiles Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wichita, KS
National Provider Identifier
1992387559
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SMILES ORTHODONTICS LLC
Practice address
7015 E Central Ave
Wichita, KS 67206-1943
Phone
(316) 684-5184
Fax
(316) 684-5197
NPI assigned
Apr 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Suman Gorantla, DMDNPI 1023209434
Title
Orthodontist/Partner
Phone
(316) 684-5184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7015 E Central Ave
Wichita, KS 67206-1943

Mailing address

7015 E Central Ave
Wichita, KS 67206-1943
Phone (316) 684-5184

National Provider Directory

National Provider Directory

Locations

7015 E Central Ave
Wichita, KS 67206
Phone (316) 263-6200

Practitioners & affiliated clinicians

Practitioners 1

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": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1992387559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061943",
            "telephone_number": "316-684-5184",
            "fax_number": "316-684-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 E CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061943",
            "telephone_number": "316-684-5184",
            "fax_number": "316-684-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "GORANTLA",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_title_or_position": "ORTHODONTIST/PARTNER",
        "authorized_official_telephone_number": "316-684-5184",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.