Holy Family Healthy Smiles Dba Northshore Smiles Family Dental Care

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HOLY FAMILY HEALTHY SMILES DBA NORTHSHORE SMILES FAMILY DENTAL CARE

Doing business as

Northshore smiles Family Dental Care Center

Practice address

830 East Rand Road Suite 11
Mount Prospect, IL 60056

Phone

(224) 306-9060

Fax

(224) 306-9059

NPI assigned

Jun 13, 2022

Last updated

Jun 13, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

HOLY FAMILY HEALTHY SMILESAs reported in NPPES

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

Authorized official

Name

Dr. Liya Kunnassery, DDS

Title

Dentist/Owner

Phone

(708) 307-3240

Specialties & licenses 1

Addresses

Other names 1

• Northshore smiles Family Dental Care Center Doing business as

Part of

Holy Family Healthy Smiles Dba Northshore Smiles Family Dental Care

Locations

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1174253272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 PONY LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "telephone_number": "708-307-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 EAST RAND ROAD SUITE 11",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "60056",
            "telephone_number": "224-306-9060",
            "fax_number": "224-306-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY FAMILY HEALTHY SMILES DBA NORTHSHORE SMILES FAMILY DENTAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY FAMILY HEALTHY SMILES",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "KUNNASSERY",
        "authorized_official_first_name": "LIYA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "708-307-3240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northshore smiles Family Dental Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Hirschi, PTA
• Kelly Graham Hoffmann, PSYD
• Michael Rand Hollander, DPM
• Taneisha Holmes, CNA
• Karyn Lynn Holtz, PT
• Home Clinix Illinois LLC (Home Clinix)
• Arthur Arbor Hong
• Hope
• House Call MD LLC
• Alison J Howard

• Dentist in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Dentist in Illinois

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