Organization Active NPI

Impressive Smiles

  • General Practice Dentistry
  • Arlington Heights, IL
National Provider Identifier
1316250327
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019028084 Issued in IL
Legal business name
IMPRESSIVE SMILES
Practice address
131 W Rand Rd
Arlington Heights, IL 60004-3142
Phone
(847) 253-4447
NPI assigned
Jul 19, 2010
Last updated
Jul 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Meena Barsoum, DMDNPI 1689804122
Title
Dentist
Phone
(630) 464-3805

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019028084 IL Primary

Addresses

Primary practice location

131 W Rand Rd
Arlington Heights, IL 60004-3142

Mailing address

131 W Rand Rd
Arlington Heights, IL 60004-3142
Phone (847) 253-4447

National Provider Directory

National Provider Directory

Locations

131 W Rand Rd
Arlington Heights, IL 60004
Phone (847) 253-4447

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1316250327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W RAND RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043142",
            "telephone_number": "847-253-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W RAND RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043142",
            "telephone_number": "847-253-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRESSIVE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "BARSOUM",
        "authorized_official_first_name": "MEENA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-464-3805",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.