Organization Active NPI

First Smile HD 3D 4D Ultrasound LLC

  • Diagnostic Ultrasound Physician
  • Mount Prospect, IL
National Provider Identifier
1639851561
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
FIRST SMILE HD 3D 4D ULTRASOUND LLC
Practice address
800 E Northwest Hwy Ste 102
Mount Prospect, IL 60056-3457
Phone
(224) 735-2318
NPI assigned
Aug 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Mr. David Anibal Mendez
Title
Owner
Phone
(773) 592-6925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

800 E Northwest Hwy Ste 102
Mount Prospect, IL 60056-3457

Mailing address

800 E Northwest Hwy Ste 102
Mount Prospect, IL 60056-3457
Phone (224) 735-2318

National Provider Directory

National Provider Directory

Locations

800 E Northwest Hwy
Ste 102
Mount Prospect, IL 60056
Phone (224) 735-2318

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1639851561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY STE 102",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563457",
            "telephone_number": "224-735-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY STE 102",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563457",
            "telephone_number": "224-735-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST SMILE HD 3D 4D ULTRASOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANIBAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-592-6925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.