Organization Active NPI

Smiles LLC

  • General Practice Dentistry
  • Addison, IL
National Provider Identifier
1184999450
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024689
Legal business name
SMILES LLC
Practice address
601 W Army Trail Blvd
Unit D
Addison, IL 60101-3299
Phone
(630) 458-0555
NPI assigned
Mar 20, 2012
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Ahsan Ahmed
Title
Dentist
Phone
(630) 458-0555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019025114 IL
General Practice Dentistry 1223G0001X 019024689 Primary

Addresses

Primary practice location

601 W Army Trail Blvd
Unit D
Addison, IL 60101-3299

Mailing address

601 W Army Trail Blvd
Addison, IL 60101-3299
Phone (630) 458-0555

National Provider Directory

National Provider Directory

Locations

601 W Army Trail Blvd
Addison, IL 60101
Phone (630) 501-0971

601 W Army Trail Blvd
Ste D
Addison, IL 60101
Phone (630) 458-0555

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1184999450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W ARMY TRAIL BLVD",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013299",
            "telephone_number": "630-458-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W ARMY TRAIL BLVD",
            "address_2": "UNIT D",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013299",
            "telephone_number": "630-458-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AHSAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-458-0555"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025114",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": "019024689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.