Smiles on Randolph PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILES ON RANDOLPH PC

Practice address

8000 E Lincoln Highway
Merrillville, IN 46410

Phone

(219) 769-6316

Fax

(219) 980-0379

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Dee Remenius

Title

Assistant Office Manager

Phone

(219) 980-0319

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chanbo Sim, DDS

  • Dentist
  • Merrillville, IN
  • NPI 1760543466
  NPD

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1295330587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 CLEVELAND CIR",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102378",
            "telephone_number": "219-980-0319",
            "fax_number": "219-980-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 E LINCOLN HIGHWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-769-6316",
            "fax_number": "219-980-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES ON RANDOLPH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-11-14",
        "status": "A",
        "authorized_official_last_name": "REMENIUS",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "ASSISTANT OFFICE MANAGER",
        "authorized_official_telephone_number": "219-980-0319",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Michael Skripac, RPH
• Nathan Skrobot
• Avery Skura, SLP
• Jekayla Antoinette Slaughter
• Smiles of the Heart LLC
• Cathy Carmel Smith-Gilham, LCSW, CADC
• Carol Smith-Harris, PSYD
• Brandi Smith, MA, BCBA
• Dana Smith
• Dion Smith Sr.

• Dental Clinic/Center in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.