NPIMap

Organization Active NPI

Celebritysmiles

  • Dentist
  • Chicago, IL
National Provider Identifier
1235300849
Registry record updated Mar 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CELEBRITYSMILES
Practice address
3208 N Southport Ave
Chicago, IL 60657-3204
Phone
(773) 883-1557
NPI assigned
Mar 23, 2008
Last updated
Mar 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2008

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

Authorized official

Name
Jet Chiranand, D.D.S.NPI 1740279066
Title
Owner/Dentist
Phone
(773) 883-1557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X IL Primary

Addresses

Primary practice location

3208 N Southport Ave
Chicago, IL 60657-3204

Mailing address

3208 N Southport Ave
Chicago, IL 60657-3204
Phone (773) 883-1557

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1206230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206230400000",
    "number": "1235300849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 N SOUTHPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573204",
            "telephone_number": "773-883-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 N SOUTHPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573204",
            "telephone_number": "773-883-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRITYSMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-23",
        "last_updated": "2008-03-23",
        "status": "A",
        "authorized_official_last_name": "CHIRANAND",
        "authorized_official_first_name": "JET",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "773-883-1557",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "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 Mar 23, 2008; 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.