NPIMap

Organization Active NPI

The Heart That Smiles Mobile Dentists

  • Dentist
  • Homewood, IL
National Provider Identifier
1407112980
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019028142 Issued in IL
Legal business name
THE HEART THAT SMILES MOBILE DENTISTS
Practice address
2060 Ridge Rd
N, Suite 3 Lower Level
Homewood, IL 60430-1780
Phone
(312) 391-1913
NPI assigned
Apr 9, 2012
Last updated
Apr 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Dr. Latoi Raphael Thomas, D.D.SNPI 1942532692
Title
Ceo
Phone
(312) 391-1913

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019028142 IL Primary

Addresses

Primary practice location

2060 Ridge Rd
N, Suite 3 Lower Level
Homewood, IL 60430-1780

Mailing address

2060 Ridge Rd
N, Suite 3 Lower Level
Homewood, IL 60430-1780

National Provider Directory

National Provider Directory

Locations

2060 Ridge Rd
Apt 3
Homewood, IL 60430
Phone (312) 391-1913

Practitioners & affiliated clinicians

Practitioners 1

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": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1407112980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 RIDGE RD",
            "address_2": "N, SUITE 3 LOWER LEVEL",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 RIDGE RD",
            "address_2": "N, SUITE 3 LOWER LEVEL",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301780",
            "telephone_number": "312-391-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEART THAT SMILES MOBILE DENTISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LATOI",
        "authorized_official_middle_name": "RAPHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-391-1913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.