NPIMap

Organization Active NPI

Smile Solutions of Clarendon Hills, LLC

  • Dentist
  • Clarendon Hills, IL
National Provider Identifier
1396159794
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019025898 Issued in IL
Legal business name
SMILE SOLUTIONS OF CLARENDON HILLS, LLC
Practice address
235 Burlington Ave
Clarendon Hills, IL 60514-1148
Phone
(630) 325-9298
Fax
(630) 325-9299
NPI assigned
Jun 13, 2014
Last updated
Jul 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Dr. Eva Coggin, DDS
Title
Owner Manager
Phone
(630) 325-9298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019025898 IL Primary

Addresses

Primary practice location

235 Burlington Ave
Clarendon Hills, IL 60514-1148

Mailing address

235 Burlington Ave
Clarendon Hills, IL 60514-1148
Phone (630) 325-9298

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": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1396159794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 BURLINGTON AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141148",
            "telephone_number": "630-325-9298",
            "fax_number": "630-325-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 BURLINGTON AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141148",
            "telephone_number": "630-325-9298",
            "fax_number": "630-325-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SOLUTIONS OF CLARENDON HILLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "COGGIN",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "630-325-9298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarendon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.