Versiani Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VERSIANI DENTAL PC

Doing business as

Blooming Smiles Chicago

Practice address

2340 N California Ave
Chicago, IL 60647-6622

Phone

(708) 834-3602

NPI assigned

Jul 13, 2020

Last updated

Jul 13, 2020By 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

Dr. Gabriela Duraes, DDSNPI 1164798864

Title

President

Phone

(708) 834-3602

Specialties & licenses 1

Addresses

Other names 1

• Blooming Smiles Chicago Doing business as

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.

• Gabriela V Duraes, DDS

  • General Practice Dentistry
  • Bloomingdale, IL
  • NPI 1164798864
  NPD Authorized official

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1245858695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 E LAKE ST STE A",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081159",
            "telephone_number": "630-295-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476622",
            "telephone_number": "708-834-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERSIANI DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "DURAES",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-834-3602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blooming Smiles Chicago",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Verre
• Lauren Verrilli
• Kolby Duke Versage
• Kathryn Emily Verschure
• Devone Verse
• Vertex Medical Supply LLC
• Ann Vertovec, MD
• Elena Vertti, LCSW
• McKenzie Marie Vertucci
• Brooke Elizabeth Vervaet, MSW

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, 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 Jul 13, 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.