Discount Smile Group, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DISCOUNT SMILE GROUP, INC

Practice address

8622 W Golf Rd
Niles, IL 60714-5600

Phone

(847) 299-5991

NPI assigned

Apr 21, 2021

Last updated

Apr 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamie Park, DDSNPI 1073502035

Title

Doctor

Phone

(847) 299-5991

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jamie Y Park, D.D.S

  • General Practice Dentistry
  • Niles, IL
  • NPI 1073502035
  NPD Authorized official

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1184206039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145600",
            "telephone_number": "847-299-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8622 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145600",
            "telephone_number": "847-299-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOUNT SMILE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-299-5991",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhanad Diab
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• Karen C Dilfer, OTR
• Christopher Joseph Dimaano, DPT
• Lisa Ann Ditchek, PSYD
• Kelly Nora Djoum, OD
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• Margaret Marie Dolan, M.D.
• Ira J Dolnick, D.D.S.

• Dental Clinic/Center in Niles, IL
• Providers in Niles, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.