Smiles of Lindenhurst

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILES OF LINDENHURST

Practice address

2031 E Grand Ave Ste 101
Lindenhurst, IL 60046-9094

Phone

(847) 265-9070

Fax

(847) 265-9279

NPI assigned

Nov 19, 2020

Organization subpart

No

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

Authorized official

Name

Brian Gniadek, DDSNPI 1194878959

Title

Owner

Phone

(847) 265-9070

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian C. Gniadek, D.D.S.

  • General Practice Dentistry
  • Lindenhurst, IL
  • NPI 1194878959
  NPD Authorized official

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1447853700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 E GRAND AVE STE 101",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600469094",
            "telephone_number": "847-265-9070",
            "fax_number": "847-265-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 E GRAND AVE STE 101",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600469094",
            "telephone_number": "847-265-9070",
            "fax_number": "847-265-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF LINDENHURST",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "GNIADEK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-265-9070",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dierdre Banina Schneider, PHARM. D.
• Tyler Schneiderheinze
• Tasha R Scott
• Megan Seelye, RBT
• Elina Shapiro
• Carolyn Diane Smith, R.N.
• Hannah Smith
• Megan Smith
• Dariusz Sokolowski, PT
• Nikita Mukesh Sorathya, DPT

• General Practice Dentistry in Lindenhurst, IL
• Providers in Lindenhurst, 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 Nov 19, 2020; 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.