Organization Active NPI

House Os Smiles, PC

Doing business as Iroquois Dental Center

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1508037698
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HOUSE OS SMILES, PC
Doing business as
Iroquois Dental Center
Practice address
1163 E Ogden Ave
Suite 403
Naperville, IL 60563-1687
Phone
(630) 416-0780
Fax
(630) 416-6938
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Deepak Agarwal, D.M.D.NPI 1487642302
Title
President
Phone
(630) 416-0780

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 IL Primary

Addresses

Primary practice location

1163 E Ogden Ave
Suite 403
Naperville, IL 60563-1687

Mailing address

1163 E Ogden Ave
Suite 403
Naperville, IL 60563-1687
Phone (630) 416-0780

Other identifiers 1

IdentifierTypeStateIssuer
9179275MedicaidIL

Other names 1

  • Iroquois Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

1163 E Ogden Ave
Ste 403
Naperville, IL 60563
Phone (630) 416-0780

Practitioners & affiliated clinicians

Practitioners 1

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": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1508037698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 E OGDEN AVE",
            "address_2": "SUITE 403",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631687",
            "telephone_number": "630-416-0780",
            "fax_number": "630-416-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 E OGDEN AVE",
            "address_2": "SUITE 403",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631687",
            "telephone_number": "630-416-0780",
            "fax_number": "630-416-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OS SMILES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-416-0780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9179275",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iroquois Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.