NPIMap

Organization Active NPI

Lincoln Smiles Family Dentistry

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1306557483
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LINCOLN SMILES FAMILY DENTISTRY
Doing business as
Lincoln Smiles Family Dentistry
Practice address
5643 N Fairfield Ave
Chicago, IL 60659-4816
Phone
(773) 271-5600
Fax
(773) 271-3280
NPI assigned
Dec 8, 2022
Last updated
Dec 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Odilia L Navarrete, DDSNPI 1659485225
Title
Owner
Phone
(773) 271-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

5643 N Fairfield Ave
Chicago, IL 60659-4816

Mailing address

5643 N Fairfield Ave
Chicago, IL 60659-4816
Phone (773) 271-5600

Other names 1

  • Lincoln Smiles Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1306557483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5643 N FAIRFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594816",
            "telephone_number": "773-271-5600",
            "fax_number": "773-271-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5643 N FAIRFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594816",
            "telephone_number": "773-271-5600",
            "fax_number": "773-271-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN SMILES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "NAVARRETE",
        "authorized_official_first_name": "ODILIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-271-5200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Smiles Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.