NPIMap

Organization Active NPI

F&J Tan, LLC D/B/a Smiles on Cass

  • General Practice Dentistry
  • Darien, IL
National Provider Identifier
1477985349
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
F&J TAN, LLC D/B/A SMILES ON CASS
Practice address
7339 Cass Ave
Darien, IL 60561-3660
Phone
(331) 481-9302
NPI assigned
Aug 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Dr. Jennifer S Tan, DDSNPI 1265692081
Title
Officer
Phone
(630) 605-0837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7339 Cass Ave
Darien, IL 60561-3660

Mailing address

7339 S. Cass Ave
Darien, IL 60561-1501
Phone (331) 481-9302

National Provider Directory

National Provider Directory

Locations

7339 Cass Ave
Darien, IL 60561
Phone (331) 481-9302

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1477985349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7339 S. CASS AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605611501",
            "telephone_number": "331-481-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7339 CASS AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605613660",
            "telephone_number": "331-481-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F&J TAN, LLC D/B/A SMILES ON CASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "630-605-0837",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.