NPIMap

Organization Active NPI

Love My Smile Chicago, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chicago, IL
National Provider Identifier
1396235651
Registry record updated Jan 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
021002679 Issued in IL
Legal business name
LOVE MY SMILE CHICAGO, LLC
Practice address
2112 N Clybourn Ave Unit B
Chicago, IL 60614-0800
Phone
(858) 699-6741
NPI assigned
May 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2019

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

Authorized official

Name
Dr. Katharine Stevens, DDS, MS
Title
Owner
Phone
(773) 382-1771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 021002679 IL Primary

Addresses

Primary practice location

2112 N Clybourn Ave Unit B
Chicago, IL 60614-0800

Mailing address

2112 N Clybourn Ave Unit B
Chicago, IL 60614-0800
Phone (773) 382-1771

National Provider Directory

National Provider Directory

Locations

2112 N Clybourn Ave
Unit B
Chicago, IL 60614
Phone (858) 699-6741

NPI Registry JSON

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

{
    "created_epoch": "1526083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547337600000",
    "number": "1396235651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 N CLYBOURN AVE UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606140800",
            "telephone_number": "773-382-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 N CLYBOURN AVE UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606140800",
            "telephone_number": "858-699-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE MY SMILE CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-12",
        "last_updated": "2019-01-13",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-382-1771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021002679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2019; 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.