Smiles for Idaho

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILES FOR IDAHO

Practice address

22351 Aura Vista Way
Caldwell, ID 83607-5528

Phone

(801) 390-1228

NPI assigned

Nov 19, 2024

Organization subpart

No

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

Authorized official

Name

Amanda Christensen

Title

Owner

Phone

(801) 390-1228

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1992520431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22351 AURA VISTA WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22351 AURA VISTA WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075528",
            "telephone_number": "801-390-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES FOR IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-390-1228"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Siler
• Jocele Skinner, MD
• Kira Ann Skroh, ATC. ATL
• Michael Slack, DO
• Smiles 4 Kids Caldwell
• Megan Smith-Krahn
• Alisha Smith, LMSW
• James Smith, PHARMD
• John Quentin Smith, MD
• Josiah Smith, PA-C

• Dental Clinic/Center in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.