Smile Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SMILE ORTHODONTICS

Practice address

820 S Bartlett Rd Ste 105
Streamwood, IL 60107-2407

Phone

(630) 830-9700

Fax

(630) 830-9739

NPI assigned

Sep 20, 2018

Last updated

Sep 20, 2018By 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

Pranav Patel, DDS

Title

MBR

Phone

(630) 452-3810

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1497239917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S BARTLETT RD STE 105",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072407",
            "telephone_number": "630-830-9700",
            "fax_number": "630-830-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S BARTLETT RD STE 105",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601072407",
            "telephone_number": "630-830-9700",
            "fax_number": "630-830-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRANAV",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "630-452-3810",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Streamwood, IL
• Providers in Streamwood, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.