That Certain Smile

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THAT CERTAIN SMILE

Practice address

4511 S Lake Park Ave 1N
Chicago, IL 60653-1461

Phone

(708) 218-3296

Fax

(708) 575-0401

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tina Michell Harris, DDS

Title

Owner

Phone

(708) 218-3296

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1396958864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 S LAKE PARK AVE 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531461",
            "telephone_number": "708-218-3296",
            "fax_number": "708-575-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 S LAKE PARK AVE 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531461",
            "telephone_number": "708-218-3296",
            "fax_number": "708-575-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAT CERTAIN SMILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MICHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-218-3296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Tharpe, SW
• Jamica Tharpe
• Kawana Fantasia Tharps, DNP, APRN, FNP-C
• Watchariyaporn Thasai
• Shaheen Thason
• That Face PLLC
• Avrey Thau, MD
• Saroja Thawani, M.D.
• Jessica Ann Thawley
• Kalyn Thayer

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.