Organization Active NPI

Best Smiles Family Dental QC

  • General Practice Dentistry
  • Davenport, IA
National Provider Identifier
1386040962
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BEST SMILES FAMILY DENTAL QC
Practice address
2180 W Kimberly Rd
Space #8
Davenport, IA 52806-5368
Phone
(630) 877-3900
NPI assigned
Nov 10, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Mr. Mitch Rivera
Title
President
Phone
(630) 877-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2180 W Kimberly Rd
Space #8
Davenport, IA 52806-5368

Mailing address

2216 Glouceston LN
Naperville, IL 60564-8476
Phone (630) 877-3900

National Provider Directory

National Provider Directory

Locations

2180 W Kimberly Rd
Spc 8
Davenport, IA 52806
Phone (630) 877-3900

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1386040962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 GLOUCESTON LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648476",
            "telephone_number": "630-877-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 W KIMBERLY RD",
            "address_2": "SPACE #8",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065368",
            "telephone_number": "630-877-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST SMILES FAMILY DENTAL QC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-877-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.