Organization Active NPI

Smiles on Wheels LLC

  • Dental Clinic/Center
  • Lombard, IL
National Provider Identifier
1386056679
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILES ON WHEELS LLC
Practice address
1263 S Highland Ave
Suite 2E
Lombard, IL 60148-4516
Phone
(630) 400-7378
NPI assigned
May 21, 2014
Last updated
May 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Azam Saeed, DDS
Title
Ceo
Phone
(630) 400-7378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1263 S Highland Ave
Suite 2E
Lombard, IL 60148-4516

Mailing address

1263 S Highland Ave
Suite 2E
Lombard, IL 60148-4516

National Provider Directory

National Provider Directory

Locations

1263 S Highland Ave
Ste 2E
Lombard, IL 60148
Phone (630) 400-7378

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1386056679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 S HIGHLAND AVE",
            "address_2": "SUITE 2E",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 S HIGHLAND AVE",
            "address_2": "SUITE 2E",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484516",
            "telephone_number": "630-400-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES ON WHEELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "SAEED",
        "authorized_official_first_name": "AZAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-400-7378",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.