NPIMap

Organization Active NPI

All Smiles Dental Center

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1215338793
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019-025067 Issued in IL
Legal business name
ALL SMILES DENTAL CENTER
Practice address
5240 N Pulaski Rd
Suite I
Chicago, IL 60630-1750
Phone
(312) 623-6888
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Dr. Hui Jun Park, DDSNPI 1518107523
Title
Owner
Phone
(312) 623-6888

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019-025067 IL Primary

Addresses

Primary practice location

5240 N Pulaski Rd
Suite I
Chicago, IL 60630-1750

Mailing address

5240 N Pulaski Rd
Suite I
Chicago, IL 60630-1750

National Provider Directory

National Provider Directory

Locations

5240 N Pulaski Rd
Ste I
Chicago, IL 60630
Phone (312) 623-6888

Practitioners & affiliated clinicians

Practitioners 1

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": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1215338793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 N PULASKI RD",
            "address_2": "SUITE I",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 N PULASKI RD",
            "address_2": "SUITE I",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301750",
            "telephone_number": "312-623-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SMILES DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "HUI JUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-623-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019-025067",
            "primary": true
        }
    ],
    "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 Sep 15, 2014; 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.