NPIMap

Organization Active NPI

Smiling Dental International P.C.

  • Dentist
  • Chicago, IL
National Provider Identifier
1487232872
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILING DENTAL INTERNATIONAL P.C.
Practice address
712 E 87TH St
Chicago, IL 60619-6246
Phone
(773) 783-9000
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Dr. Jianjun Hao, DDSNPI 1518204023
Title
President
Phone
(773) 941-1010

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

712 E 87TH St
Chicago, IL 60619-6246

Mailing address

833 W 15TH PL Unit 612
Chicago, IL 60608-1843

National Provider Directory

National Provider Directory

Locations

712 E 87th St
Chicago, IL 60619
Phone (773) 456-7071

Practitioners & affiliated clinicians

Practitioners 11

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": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1487232872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 W 15TH PL UNIT 612",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196246",
            "telephone_number": "773-783-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILING DENTAL INTERNATIONAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "HAO",
        "authorized_official_first_name": "JIANJUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-941-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 29, 2021; 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.