NPIMap

Organization Active NPI

Smart Smiles Dental, LLC

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1467822684
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019026337 Issued in IL
Legal business name
SMART SMILES DENTAL, LLC
Practice address
850 S Wabash Ave
Suite #250
Chicago, IL 60605-3641
Phone
(312) 922-3411
NPI assigned
Sep 30, 2015
Last updated
Sep 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Dr. Lena Casimir, D.D.SNPI 1265560593
Title
Owner
Phone
(312) 922-3411

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
Dental Clinic/Center 261QD0000X 019026337 IL Primary

Addresses

Primary practice location

850 S Wabash Ave
Suite #250
Chicago, IL 60605-3641

Mailing address

850 S. Wabash
Suite #250
Chicago, IL 60605
Phone (312) 922-3411

Other identifiers 1

IdentifierTypeStateIssuer
019026337MedicaidIL

National Provider Directory

National Provider Directory

Locations

850 S Wabash Ave
Ste 250
Chicago, IL 60605
Phone (312) 663-1890

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": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1467822684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S. WABASH",
            "address_2": "SUITE #250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60605",
            "telephone_number": "312-922-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S WABASH AVE",
            "address_2": "SUITE #250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053641",
            "telephone_number": "312-922-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART SMILES DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "CASIMIR",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-922-3411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019026337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019026337",
            "state": "IL"
        }
    ],
    "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 Sep 30, 2015; 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.