Improving Smiles LTD

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

019025511 Issued in IL

Legal business name

IMPROVING SMILES LTD

Practice address

2102 N Market St
Champaign, IL 61822-1306

Phone

(217) 351-2667

Fax

(217) 351-2668

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Todd A. Johnson, D.M.D.

Title

President/Dentist

Phone

(217) 351-2667

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Champaign Dental Care Doing business as

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1366698656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 N MARKET ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221306",
            "telephone_number": "217-351-2667",
            "fax_number": "217-351-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 N MARKET ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221306",
            "telephone_number": "217-351-2667",
            "fax_number": "217-351-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPROVING SMILES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "217-351-2667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "019025511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167289",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champaign Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Illini Smiles Dental Care PC
• Illini Smiles Dental Care PC
• Illinois Anesthesia Coverage P.C.
• Illinois Endodontics, LLC
• Illinois Spine and Pain Center SC
• Independence Holding Co LLC
• Independence Holding Co LLC
• Breanna Ingle
• Jennifer Ingold, NP-C
• Desiree Ingram, RBT

• Health Maintenance Organization in Champaign, IL
• Providers in Champaign, IL by specialty
• Health Maintenance Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.