NPIMap

Organization Active NPI

Eversmiles, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Northbrook, IL
National Provider Identifier
1548076862
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
EVERSMILES, PLLC
Practice address
840 Willow Rd Ste D
Northbrook, IL 60062-6823
Phone
(224) 904-1380
Fax
(224) 904-1390
NPI assigned
Dec 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Dr. Thomas Ford Everett, DDSNPI 1730217191
Title
Orthodontist
Phone
(847) 212-6130

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

840 Willow Rd Ste D
Northbrook, IL 60062-6823

Mailing address

840 Willow Rd Ste D
Northbrook, IL 60062-6823
Phone (224) 904-1380

Other names 1

  • EverSmiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eversmiles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

840 Willow Rd
Ste D
Northbrook, IL 60062
Phone (224) 904-1380

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": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1548076862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WILLOW RD STE D",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626823",
            "telephone_number": "224-904-1380",
            "fax_number": "224-904-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WILLOW RD STE D",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600626823",
            "telephone_number": "224-904-1380",
            "fax_number": "224-904-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERSMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FORD",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "847-212-6130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EverSmiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.