The Radiant Smile, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THE RADIANT SMILE, PC

Practice address

1632 Maple Ave
Evanston, IL 60201-3602

Phone

(847) 328-3573

Fax

(847) 328-3658

NPI assigned

Apr 12, 2008

Last updated

Apr 18, 2008By 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

Dr. Charles H Chen, DDSNPI 1962574210

Title

President

Phone

(847) 328-3573

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Charles H Chen, DDS

  • General Practice Dentistry
  • Evanston, IL
  • NPI 1962574210
  NPD (past) Authorized official
• Xheni Basko, D.M.D.

  • General Practice Dentistry
  • Evanston, IL
  • NPI 1730563743
  NPD (past)

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

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1639342454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 MAPLE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013602",
            "telephone_number": "847-328-3573",
            "fax_number": "847-328-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 MAPLE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013602",
            "telephone_number": "847-328-3573",
            "fax_number": "847-328-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RADIANT SMILE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-12",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-328-3573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Evanston, IL
• Providers in Evanston, 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 Apr 18, 2008; 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.