Lakeview Smiles Midway LTD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LAKEVIEW SMILES MIDWAY LTD

Practice address

5208 S Cicero Ave
Chicago, IL 60638-3043

Phone

(312) 764-1470

Fax

(773) 527-2003

NPI assigned

Feb 22, 2022

Organization subpart

No

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

Authorized official

Name

Grace H Lee, DDSNPI 1760673339

Title

President

Phone

(773) 929-1150

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace H Lee, DDS

  • General Practice Dentistry
  • Riverdale, IL
  • NPI 1760673339
  NPD Authorized official

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1558017228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606383043",
            "telephone_number": "312-764-1470",
            "fax_number": "773-527-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606383043",
            "telephone_number": "312-764-1470",
            "fax_number": "773-527-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW SMILES MIDWAY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-929-1150",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeview Psychiatry & Counseling
• Lakeview Psychology Group
• Lakeview Pulmonary & Sleep Consultants LTD
• Lakeview Rehabilitation and Nursing Center
• Lakeview Smiles Edgewater LTD
• Lakeview Speech and Language Clinic, LLC
• Lakeview Speech Therapy, LLC
• Lakeview Surgery Center
• Lakeview Womens Health SC
• Bhavik Lakhani, DMD

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.