NPIMap

Organization Active NPI

Citywide Smiles, P.C.

  • Dental Clinic/Center
  • Grayslake, IL
National Provider Identifier
1578810941
Registry record updated Aug 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019020335 Issued in IL
Legal business name
CITYWIDE SMILES, P.C.
Practice address
34779 N Linden Ave
Grayslake, IL 60030-1112
Phone
(847) 276-8409
NPI assigned
Aug 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2012

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

Authorized official

Name
Dr. Eric Smyth, DDSNPI 1831341510
Title
Dentist/Owner
Phone
(847) 276-8409

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 019020335 IL Primary

Addresses

Primary practice location

34779 N Linden Ave
Grayslake, IL 60030-1112

Mailing address

34779 N Linden Ave
Grayslake, IL 60030-1112
Phone (847) 276-8409

National Provider Directory

National Provider Directory

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": "1344124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344124800000",
    "number": "1578810941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34779 N LINDEN AVE",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301112",
            "telephone_number": "847-276-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34779 N LINDEN AVE",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301112",
            "telephone_number": "847-276-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYWIDE SMILES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-05",
        "last_updated": "2012-08-05",
        "status": "A",
        "authorized_official_last_name": "SMYTH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "847-276-8409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019020335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2012; 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.