NPIMap

Organization Active NPI

Chicago Style Smiles, LLC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1578076352
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019028750 Issued in IL
Legal business name
CHICAGO STYLE SMILES, LLC
Practice address
30 N Michigan Ave Ste 1506
Chicago, IL 60602-3689
Phone
(312) 372-4845
NPI assigned
Nov 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Authorized official

Name
Dr. Kevin Dow, DDSNPI 1013205103
Title
Partner
Phone
(312) 372-4845

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 019028750 IL Primary

Addresses

Primary practice location

30 N Michigan Ave Ste 1506
Chicago, IL 60602-3689

Mailing address

30 N Michigan Ave Ste 1506
Chicago, IL 60602-3689
Phone (312) 372-4845

Other identifiers 2

IdentifierTypeStateIssuer
1013205103OtherILKEVIN D DOW
1548472285OtherILJAMES D ROHAN

National Provider Directory

National Provider Directory

Locations

30 N Michigan Ave
Ste 1506
Chicago, IL 60602
Phone (312) 372-4845

Practitioners & affiliated clinicians

Practitioners 3

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": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1578076352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023689",
            "telephone_number": "312-372-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023689",
            "telephone_number": "312-372-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO STYLE SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "DOW",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "312-372-4845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEVIN D DOW",
            "identifier": "1013205103",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMES D ROHAN",
            "identifier": "1548472285",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.