Shiny Smiles Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHINY SMILES INC

Doing business as

Novera Oral Health Studio

Practice address

3332 N Western Ave
Chicago, IL 60618-6213

Phone

(312) 217-2223

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Milad Nourahmadi, DDS

Title

Owner

Phone

(312) 217-2223

Specialties & licenses 1

Addresses

Other names 1

• Novera Oral Health Studio Doing business as

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1063785806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186213",
            "telephone_number": "312-217-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186213",
            "telephone_number": "312-217-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINY SMILES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "NOURAHMADI",
        "authorized_official_first_name": "MILAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-217-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novera Oral Health Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shining Light Therapy
• Susan M Shinkus, RN
• Daniel Jinsup Shinn
• Peter Cuauhtemoc Shinnick, PHARMD
• Zak Andre Shinton, MD
• Gail M Shiomoto, M.D.
• Lauren Ship, OTR/L
• Frank E Shipley, ATC
• Katherine Shipley, APN-CNP
• Katherine Elizabeth Shipley, PA-C

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.