Star Smile P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

019028012 Issued in IL

Legal business name

STAR SMILE P.C.

Doing business as

Mchenry Family Dental

Practice address

1311 N Green St
McHenry, IL 60050-4452

Phone

(815) 385-6545

NPI assigned

Oct 18, 2013

Organization subpart

Yes

Parent organization

STAR SMILE P.C.As reported in NPPES

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

Authorized official

Name

Dr. Yana Lyushkova

Title

President

Phone

(815) 385-6545

Specialties & licenses 1

Addresses

Other names 1

• Mchenry Family Dental Doing business as

Part of

Star Smile

Locations

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1316375843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N GREEN ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504452",
            "telephone_number": "815-385-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N GREEN ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504452",
            "telephone_number": "815-385-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR SMILE P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAR SMILE P.C.",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "LYUSHKOVA",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-385-6545",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mchenry Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ratna R Srinivas, MD
• SRT Prosthetics & Orthotics LLC
• Stableway Counseling Services, LLC
• Jessica M Stanfel
• George Lane Stankevych, M.D.
• Joseph Stark
• Larea Joyce Staub, LCSW
• Linda Esther Stavroplos
• Taylor Stebbins
• Ellen B Steckbar, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.