Organization Active NPI

Jai Vaibhav Lakshmi Service Corporation

Doing business as Smile & Shine Dental Solutions

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1073252466
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JAI VAIBHAV LAKSHMI SERVICE CORPORATION
Doing business as
Smile & Shine Dental Solutions
Practice address
618 S Route 59 Ste 122
Naperville, IL 60540-6100
Phone
(201) 268-4096
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Prabha Singh, DMDNPI 1760911275
Title
President
Phone
(201) 268-4096

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

618 S Route 59 Ste 122
Naperville, IL 60540-6100

Mailing address

2845 Clara Ave
Aurora, IL 60502-9641
Phone (201) 268-4096

Other names 1

  • SMILE & SHINE DENTAL SOLUTIONS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1073252466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 CLARA AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029641",
            "telephone_number": "201-268-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S ROUTE 59 STE 122",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406100",
            "telephone_number": "201-268-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAI VAIBHAV LAKSHMI SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "PRABHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-268-4096",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILE & SHINE DENTAL SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SMILE & SHINE DENTAL SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.