Organization Active NPI

Grand Smiles, LLC

  • Dental Clinic/Center
  • Bensenville, IL
National Provider Identifier
1275256208
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.