Brighter Dental of Park Ridge LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BRIGHTER DENTAL OF PARK RIDGE LLC

Practice address

1416 Canfield Rd
Park Ridge, IL 60068-5553

Phone

(847) 698-0888

NPI assigned

Aug 30, 2023

Last updated

Aug 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roger Nouneh, DMDNPI 1447248877

Title

Managing Member

Phone

(312) 927-8882

Specialties & licenses 2

Addresses

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.

• Roger Nouneh, DMD. MS.MBA

  • Periodontics
  • Chicago, IL
  • NPI 1447248877

  Dentist

  NPD Authorized official
• Louis A Imburgia, DDS

  • Dentist
  • Park Ridge, IL
  • NPI 1346255726
  NPD

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1407631179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 CANFIELD RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685553",
            "telephone_number": "847-698-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 CANFIELD RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685553",
            "telephone_number": "847-698-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER DENTAL OF PARK RIDGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "NOUNEH",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "312-927-8882",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jameela Bridges
• Bridgeway Behavioral Health LLC
• Briggs Therapy Group, LLC
• David E Briggs, LPC
• Jennifer F. Briggs, LCSW
• Brightheart Homecare, LLC
• Beau McCabe Brinckerhoff, M.D.
• Christine Y Briner, MD
• Leslie Anne Brookfield, MD
• Jared Brooks, DO

• Dentist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.