Organization Active NPI

Smile Pro Studio

  • General Practice Dentistry
  • Schaumburg, IL
National Provider Identifier
1093827669
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE PRO STUDIO
Practice address
1701 E Woodfield Road
Suite 510
Schaumburg, IL 60173
Phone
(847) 437-3533
Fax
(847) 437-0310
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Dr. Sahand Zomorrodian, DMD
Title
Owner
Phone
(847) 437-3533

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019.012257 IL
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary
ProsthodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0700X 019.012257 IL

Addresses

Primary practice location

1701 E Woodfield Road
Suite 510
Schaumburg, IL 60173

Mailing address

1701 E Woodfield Road
Suite 510
Schaumburg, IL 60173
Phone (847) 437-3533

Other names 1

  • Arlington Heights Professional Dental Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Arlington Heights Professional Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1701 E Woodfield Rd
Ste 510
Schaumburg, IL 60173
Phone (847) 437-3533

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1093827669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD ROAD",
            "address_2": "SUITE 510",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60173",
            "telephone_number": "847-437-3533",
            "fax_number": "847-437-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD ROAD",
            "address_2": "SUITE 510",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60173",
            "telephone_number": "847-437-3533",
            "fax_number": "847-437-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PRO STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "ZOMORRODIAN",
        "authorized_official_first_name": "SAHAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-437-3533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.012257",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "019.012257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Heights Professional Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arlington Heights Professional Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.