Organization Active NPI

Shimmer Smile Dentistry LLC

Doing business as Bright Dental

  • Dentist
  • Des Plaines, IL
National Provider Identifier
1083844914
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019022646 Issued in IL
Legal business name
SHIMMER SMILE DENTISTRY LLC
Doing business as
Bright Dental
Practice address
737 W Golf Rd
Des Plaines, IL 60016-2414
Phone
(847) 228-2000
Fax
(847) 228-1010
NPI assigned
Jul 27, 2009
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Furrukh Ashraf, DMDNPI 1619607967
Title
Owner/Dentist
Phone
(847) 331-7282

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
Dentist 122300000X 019022646 IL Primary

Addresses

Primary practice location

737 W Golf Rd
Des Plaines, IL 60016-2414

Mailing address

737 W Golf Rd
Des Plaines, IL 60016-2414
Phone (847) 228-2000

Other identifiers 1

IdentifierTypeStateIssuer
1005497MedicaidIL

Other names 1

  • BRIGHT DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

737 W Golf Rd
Des Plaines, IL 60016
Phone (847) 228-2000

737 W Golf Rd
#11
Des Plaines, IL 60016
Phone (847) 228-2000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1083844914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162414",
            "telephone_number": "847-228-2000",
            "fax_number": "847-228-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 W GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162414",
            "telephone_number": "847-228-2000",
            "fax_number": "847-228-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIMMER SMILE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "ASHRAF",
        "authorized_official_first_name": "FURRUKH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "847-331-7282",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019022646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005497",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHT DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.