C U Smile,LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019025812 Issued in IL

Legal business name

C U SMILE,LLC

Practice address

4906 Peifer LN
Champaign, IL 61822-8321

Phone

(217) 531-1852

Fax

(217) 531-1853

NPI assigned

Mar 16, 2011

Last updated

Mar 16, 2011By 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

Nusrat Hawa, DMDNPI 1659430031

Title

Owner

Phone

(217) 531-1852

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Nusrat A Hawa, D.M.D.

  • Dentist
  • Champaign, IL
  • NPI 1659430031
  NPD (past) Authorized official

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1578862561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 PEIFER LN",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618228321",
            "telephone_number": "217-531-1852",
            "fax_number": "217-531-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 PEIFER LN",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618228321",
            "telephone_number": "217-531-1852",
            "fax_number": "217-531-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C U SMILE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "HAWA",
        "authorized_official_first_name": "NUSRAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-531-1852",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019025812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6889",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Bushman, L.M.P.
• Jesse Buss, MSW, LSW, QMHP
• Tia Butler, LCSW
• Michelle L. Buxton, LCSW
• Kimberly Byckowski
• C-U Eyecare LLC
• C.R. Booker Mediation & Counseling Inc.
• Emily Cadman, LCSW
• Erin Cain
• Caitlin Garstkiewicz, LCSW, PLLC

• Dental Clinic/Center in Champaign, IL
• Providers in Champaign, 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 Mar 16, 2011; 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.