Just Smiles LTD

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JUST SMILES LTD

Practice address

2133 S 17TH Ave
Broadview, IL 60155-3019

Phone

(708) 865-0200

Fax

(708) 865-1730

NPI assigned

Dec 9, 2019

Last updated

Jan 13, 2025By 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

Kimika Wesley

Title

Office Manager

Phone

(708) 865-0200

Specialties & licenses 2

Addresses

Locations

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.

• Monique Currie Tucker, D.D.S.

  • General Practice Dentistry
  • Broadview, IL
  • NPI 1952454084
  NPD

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1306483433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 S 17TH AVE",
            "city": "BROADVIEW",
            "state": "IL",
            "postal_code": "601553019",
            "telephone_number": "708-865-0200",
            "fax_number": "708-865-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 S 17TH AVE",
            "city": "BROADVIEW",
            "state": "IL",
            "postal_code": "601553019",
            "telephone_number": "708-865-0200",
            "fax_number": "708-865-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST SMILES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "WESLEY",
        "authorized_official_first_name": "KIMIKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-865-0200"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Highland Park CVS LLC (CVS Pharmacy #17169)
• Kenneth Lyle Holland, APRN
• Home Health Depot Inc
• Terri Howe, BSW
• Robert H Jansen Jr.
• Jason L Kay, PHARM.D.
• Eric Kelley, MD
• Shabana Khan, PHARMD
• Khemit Medicar Corporation
• Kanesha Kirkwood, PHARMD

• Dentist in Broadview, IL
• Providers in Broadview, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.