Active NPI
Grand Smiles, LLC
- Dental Clinic/Center
- Bensenville, IL
National Provider Identifier
1275256208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- GRAND SMILES, LLC
- Practice address
- 229 W Grand Ave Ste W
Bensenville, IL 60106-3365 - Phone
- (630) 574-9600
- NPI assigned
- Sep 23, 2022
- Last updated
- Sep 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohamed Waheed, DDS
- Title
- Owner
- Phone
- (630) 574-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
229 W Grand Ave Ste W
Bensenville, IL 60106-3365
Mailing address
516 W Lake St
Addison, IL 60101-2307
Phone (630) 574-9600
National Provider Directory
National Provider DirectoryLocations
229 W Grand Ave
Ste W
Bensenville, IL 60106
Phone (630) 574-9600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663891200000",
"number": "1275256208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 W LAKE ST",
"city": "ADDISON",
"state": "IL",
"postal_code": "601012307",
"telephone_number": "630-574-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 W GRAND AVE STE W",
"city": "BENSENVILLE",
"state": "IL",
"postal_code": "601063365",
"telephone_number": "630-574-9600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND SMILES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A",
"authorized_official_last_name": "WAHEED",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-574-9600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bensenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.