Organization Active NPI

Smile Design, LTD

  • Dental Clinic/Center
  • Lemont, IL
National Provider Identifier
1568530251
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE DESIGN, LTD
Practice address
15900 127TH St
Suite 211
Lemont, IL 60439-2910
Phone
(630) 243-7645
Fax
(630) 243-6336
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Horatio Dan Enacopol, DDSNPI 1255409041
Title
Owner
Phone
(630) 243-7645

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
Dental Clinic/Center 261QD0000X IL Primary

Addresses

Primary practice location

15900 127TH St
Suite 211
Lemont, IL 60439-2910

Mailing address

15900 127TH St
Suite 211
Lemont, IL 60439-2910
Phone (630) 243-7645

National Provider Directory

National Provider Directory

Locations

15900 W 127th St
Ste 211
Lemont, IL 60439
Phone (630) 243-7645

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568530251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 127TH ST",
            "address_2": "SUITE 211",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604392910",
            "telephone_number": "630-243-7645",
            "fax_number": "630-243-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 127TH ST",
            "address_2": "SUITE 211",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604392910",
            "telephone_number": "630-243-7645",
            "fax_number": "630-243-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DESIGN, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENACOPOL",
        "authorized_official_first_name": "HORATIO",
        "authorized_official_middle_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-243-7645",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.