NPIMap

Organization Active NPI

Brighter Dental of Old Town

  • Dentist
  • Chicago, IL
National Provider Identifier
1164829032
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019025485 Issued in IL
Legal business name
BRIGHTER DENTAL OF OLD TOWN
Practice address
1254 N Wells St
Chicago, IL 60610-1981
Phone
(312) 337-3300
NPI assigned
Nov 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Roger Nouneh, DMD. MSNPI 1447248877
Title
Managing Member
Phone
(312) 927-8882

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019025485 IL Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019029429 IL
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019029061 IL
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019029936 IL
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019029031 IL
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 021001990 IL

Addresses

Primary practice location

1254 N Wells St
Chicago, IL 60610-1981

Mailing address

1254 N Wells St
Chicago, IL 60610-1981
Phone (312) 337-3300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1164829032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 N WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101981",
            "telephone_number": "312-337-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 N WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101981",
            "telephone_number": "312-337-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER DENTAL OF OLD TOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "NOUNEH",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "312-927-8882",
        "authorized_official_credential": "DMD. MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025485",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029429",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029061",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029936",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029031",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021001990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.