NPIMap

Organization Active NPI

Magic Smiles, Inc.

  • General Practice Dentistry
  • Cicero, IL
National Provider Identifier
1669808226
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MAGIC SMILES, INC.
Practice address
4939 W 14TH St
Suite a
Cicero, IL 60804-1419
Phone
(708) 652-1080
Fax
(708) 652-1081
NPI assigned
Sep 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Dr. Liqing Zhang, DDS
Title
Dentist/Treasurer
Phone
(708) 652-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

4939 W 14TH St
Suite a
Cicero, IL 60804-1419

Mailing address

4939 W 14TH St
Suite a
Cicero, IL 60804-1419
Phone (708) 652-1080

National Provider Directory

National Provider Directory

Locations

4939 W 14th St
Ste A
Cicero, IL 60804
Phone (708) 652-1080

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1669808226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 W 14TH ST",
            "address_2": "SUITE A",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608041419",
            "telephone_number": "708-652-1080",
            "fax_number": "708-652-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4939 W 14TH ST",
            "address_2": "SUITE A",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608041419",
            "telephone_number": "708-652-1080",
            "fax_number": "708-652-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC SMILES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "LIQING",
        "authorized_official_title_or_position": "DENTIST/TREASURER",
        "authorized_official_telephone_number": "708-652-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.