Organization Active NPI

Smiles of Orland Park PC.

  • General Practice Dentistry
  • Orland Park, IL
National Provider Identifier
1003986373
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILES OF ORLAND PARK PC.
Practice address
7630 W 159TH St
Orland Park, IL 60462-5035
Phone
(708) 532-8889
Fax
(708) 532-8388
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Q Marshall, DDS
Title
Dentist
Phone
(708) 532-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

7630 W 159TH St
Orland Park, IL 60462-5035

Mailing address

7630 W 159TH St
Orland Park, IL 60462-5035
Phone (708) 532-8889

National Provider Directory

National Provider Directory

Locations

7630 W 159th St
Orland Park, IL 60462
Phone (708) 532-8889

Practitioners & affiliated clinicians

Practitioners 2

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003986373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625035",
            "telephone_number": "708-532-8889",
            "fax_number": "708-532-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625035",
            "telephone_number": "708-532-8889",
            "fax_number": "708-532-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF ORLAND PARK PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-532-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.