Shining Smiles 5 Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHINING SMILES 5 INC

Practice address

618 S Route 59
Suite 122
Naperville, IL 60540-0937

Phone

(630) 972-4010

NPI assigned

Nov 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Milad Nourahmadi, DDS

Title

Secretary

Phone

(630) 972-4010

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1629520077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N BOLINGBROOK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S ROUTE 59",
            "address_2": "SUITE 122",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605400937",
            "telephone_number": "630-972-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING SMILES 5 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "NOURAHMADI",
        "authorized_official_first_name": "MILAD",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "630-972-4010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Shields, LPC, CADC
• Michelle Lynn Shields, SLP
• Timothy Randall Shields, LCPC
• Yong Taek Shim, D.D.S.
• Rakhi Shingala
• Amanda Shire, M.S. SLP
• Shiva Dental LLC
• Lina Shlikas, PHARM.D.
• Kennedy Shontz, BCBA
• Shoptikal LLC

• General Practice Dentistry in Naperville, IL
• Providers in Naperville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.