Organization Active NPI

Specialist Smile Inc.

  • Periodontics
  • Darien, IL
National Provider Identifier
1013812239
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
SPECIALIST SMILE INC.
Practice address
8342 Lemont Rd Ste 3F
Darien, IL 60561-1510
Phone
(630) 581-0000
Fax
(331) 200-5020
NPI assigned
Oct 8, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Rosa Mendez
Title
Office Manager
Phone
(630) 581-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X NU Primary

Addresses

Primary practice location

8342 Lemont Rd Ste 3F
Darien, IL 60561-1510

Mailing address

8342 Lemont Rd Ste 3F
Darien, IL 60561-1510
Phone (630) 581-0000

NPI Registry JSON

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1013812239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8342 LEMONT RD STE 3F",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605611510",
            "telephone_number": "630-581-0000",
            "fax_number": "331-200-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8342 LEMONT RD STE 3F",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605611510",
            "telephone_number": "630-581-0000",
            "fax_number": "331-200-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIST SMILE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-581-0000"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.