Ktsmiles, Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

KTSMILES, INC

Doing business as

Smile Suite Orthodontics
The smile Suite

Practice address

2422 Main St
Evanston, IL 60202-1548

Phone

(847) 264-9330

Fax

(618) 217-5367

NPI assigned

Apr 10, 2020

Last updated

Sep 17, 2024By 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

Dr. Kimberly Smith, DDSNPI 1235204041

Title

Orthodontist

Phone

(847) 833-1272

Specialties & licenses 2

Addresses

Other names 2

• Smile Suite Orthodontics Doing business as
• The smile Suite Doing business as

Locations

Practitioners 1

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.

• Kimberly Mays Smith, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Evanston, IL
  • NPI 1235204041
  NPD Authorized official

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1548889496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021548",
            "telephone_number": "847-264-9330",
            "fax_number": "618-217-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021548",
            "telephone_number": "847-264-9330",
            "fax_number": "618-217-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTSMILES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "847-833-1272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Suite Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The smile Suite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Todd Gerard Kroll, MD, PHD
• Samantha Kroot
• Shannon K Kropp, MD
• Cassandra Therese Kruchten, MSW, LSW, LCSW
• Robert Scott Krueger, D.D.S.
• Jessica Kubacki
• Vandana Susmi Kulkarni, M.D.
• Eashan Kumar
• Himanshu Kumar
• Rajvi Kumar

• Orthodontics and Dentofacial Orthopedics Dentistry in Evanston, IL
• Providers in Evanston, 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 17, 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.