Organization Active NPI

All Smiles Dental

  • General Practice Dentistry
  • Algonquin, IL
National Provider Identifier
1639296189
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019022088 Issued in IL
Legal business name
ALL SMILES DENTAL
Practice address
1452 Merchant Dr
Algonquin, IL 60102-5917
Phone
(847) 854-7645
Fax
(847) 854-9373
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Karen Krabbenhoft, RDH
Title
Office Administrator
Phone
(847) 854-7645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 019022088 IL Primary

Addresses

Primary practice location

1452 Merchant Dr
Algonquin, IL 60102-5917

Mailing address

1452 Merchant Dr
Algonquin, IL 60102-5917
Phone (847) 854-7645

National Provider Directory

National Provider Directory

Locations

1452 Merchant Dr
Algonquin, IL 60102
Phone (224) 803-2220

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1639296189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 MERCHANT DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025917",
            "telephone_number": "847-854-7645",
            "fax_number": "847-854-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 MERCHANT DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025917",
            "telephone_number": "847-854-7645",
            "fax_number": "847-854-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SMILES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "KRABBENHOFT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "847-854-7645",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019022088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.