NPIMap

Organization Active NPI

Delivering Smiles LTD

Doing business as Auburn Dental Care

  • General Practice Dentistry
  • Auburn, IL
National Provider Identifier
1295093003
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.025511 Issued in IL
Legal business name
DELIVERING SMILES LTD
Doing business as
Auburn Dental Care
Practice address
500 E Jackson St
Auburn, IL 62615-9787
Phone
(217) 438-3721
NPI assigned
Apr 30, 2012
Last updated
Apr 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Dr. Todd Johnson, D.M.D.
Title
President
Phone
(217) 766-2612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.025511 IL Primary

Addresses

Primary practice location

500 E Jackson St
Auburn, IL 62615-9787

Mailing address

500 E Jackson St
Auburn, IL 62615-9787
Phone (217) 438-3721

Other names 1

  • Auburn Dental Care Doing business as

National Provider Directory

National Provider Directory

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": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1295093003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E JACKSON ST",
            "city": "AUBURN",
            "state": "IL",
            "postal_code": "626159787",
            "telephone_number": "217-438-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E JACKSON ST",
            "city": "AUBURN",
            "state": "IL",
            "postal_code": "626159787",
            "telephone_number": "217-438-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELIVERING SMILES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-766-2612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.025511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auburn Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.