NPIMap

Organization Active NPI

Signature Smiles Dental Care LTD

  • General Practice Dentistry
  • Oak Park, IL
National Provider Identifier
1043336621
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SIGNATURE SMILES DENTAL CARE LTD
Practice address
1128 Lake Street
Suite 1
Oak Park, IL 60301-1058
Phone
(708) 386-6190
Fax
(708) 386-3047
NPI assigned
Mar 22, 2007
Organization subpart
No

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1128 Lake St
Ste 1
Oak Park, IL 60301
Phone (708) 386-6190

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. Rosemarie Buen, DMDNPI 1639336654
Title
Owner
Phone
(708) 386-6190

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

1128 Lake Street
Suite 1
Oak Park, IL 60301-1058

Mailing address

1128 Lake Street
Suite 1
Oak Park, IL 60301-1058
Phone (708) 386-6190

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043336621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 LAKE STREET",
            "address_2": "SUITE 1",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011058",
            "telephone_number": "708-386-6190",
            "fax_number": "708-386-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 LAKE STREET",
            "address_2": "SUITE 1",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011058",
            "telephone_number": "708-386-6190",
            "fax_number": "708-386-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SMILES DENTAL CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUEN",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-386-6190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "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 Oak 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.