NPIMap

Organization Active NPI

Elk Grove Smile Center, LLC

  • Dentist
  • Elk Grove Village, IL
National Provider Identifier
1366843708
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.029196 Issued in IL
Legal business name
ELK GROVE SMILE CENTER, LLC
Practice address
70 Turner Ave
Elk Grove Village, IL 60007-3955
Phone
(847) 437-3250
NPI assigned
Sep 4, 2014
Last updated
Sep 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Dr. Vishal Advani, DDSNPI 1366736381
Title
Owner/Dentist
Phone
(847) 437-3250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019.029196 IL Primary

Addresses

Primary practice location

70 Turner Ave
Elk Grove Village, IL 60007-3955

Mailing address

70 Turner Ave
Elk Grove Village, IL 60007-3955
Phone (847) 437-3250

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1366843708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 TURNER AVE",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073955",
            "telephone_number": "847-437-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 TURNER AVE",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073955",
            "telephone_number": "847-437-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK GROVE SMILE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "ADVANI",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "847-437-3250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.