Organization Active NPI

The Smile Center Corporation

  • Dentist
  • Chicago Heights, IL
National Provider Identifier
1215559893
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THE SMILE CENTER CORPORATION
Practice address
430 Dixie Hwy
Chicago Heights, IL 60411-1799
Phone
(708) 808-4950
NPI assigned
May 17, 2020
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Latoi ThomasNPI 1942532692
Title
Owner Dentist
Phone
(312) 391-1913

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

430 Dixie Hwy
Chicago Heights, IL 60411-1799

Mailing address

7970 Northwoods Dr
Frankfort, IL 60423-9008
Phone (312) 391-1913

National Provider Directory

National Provider Directory

Locations

430 Dixie Hwy
Chicago Heights, IL 60411
Phone (708) 686-2130

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1215559893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7970 NORTHWOODS DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239008",
            "telephone_number": "312-391-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 DIXIE HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111799",
            "telephone_number": "708-808-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILE CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-17",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LATOI",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "312-391-1913"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.