OrganizationActive
Four Corners Smiles 4 Kids, Inc.
NPI 1225364607 · General Practice Dentistry · Durango, CO
Four Corners Smiles 4 Kids, Inc. is a General Practice Dentistry organization in Durango, CO (NPI 1225364607).
Provider details
- NPI number
- 1225364607
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- J Mickelson, Owner(970) 247-0202
- License
- 8630 (CO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1135 S Camino Del Rio
Ste. 210
Durango, CO 81303-6831
Phone: (970) 247-0202
Fax: (970) 247-0404
Approximate (ZIP-level) locationGet directions
Mailing address
1135 S Camino Del Rio
Durango, CO 81303-6831
Registry dates
- Enumerated
- 2009-10-20
- Last updated
- 2009-10-20
Frequently asked questions
- What is Four Corners Smiles 4 Kids, Inc.'s NPI number?
- Four Corners Smiles 4 Kids, Inc.'s National Provider Identifier (NPI) is 1225364607, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Four Corners Smiles 4 Kids, Inc.?
- Four Corners Smiles 4 Kids, Inc. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Four Corners Smiles 4 Kids, Inc. located?
- Four Corners Smiles 4 Kids, Inc.'s practice location on file with NPPES is 1135 S Camino Del Rio, Durango, CO 81303-6831.
- What is Four Corners Smiles 4 Kids, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Four Corners Smiles 4 Kids, Inc. is (970) 247-0202.
- Who is the authorized official for Four Corners Smiles 4 Kids, Inc.?
- The authorized official listed on Four Corners Smiles 4 Kids, Inc.'s NPPES record is J Mickelson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Four Corners Smiles 4 Kids, Inc.'s NPI active?
- Yes — Four Corners Smiles 4 Kids, Inc.'s NPI (1225364607) is active in the NPPES registry as of the last update on 2009-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.