NPIMap

Organization Active NPI

Precious Smiles Dental PC

  • Dentist
  • Round Lake, IL
National Provider Identifier
1669908695
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.027134 Issued in IL
Legal business name
PRECIOUS SMILES DENTAL PC
Practice address
732 N Fairfield Rd
Round Lake, IL 60073-8160
Phone
(847) 740-4100
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Divya R Krishna, DMDNPI 1649283284
Title
Dentist/Owner
Phone
(224) 944-9399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019.027134 IL Primary

Addresses

Primary practice location

732 N Fairfield Rd
Round Lake, IL 60073-8160

Mailing address

732 N Fairfield Rd
Round Lake, IL 60073-8160
Phone (847) 740-4100

National Provider Directory

National Provider Directory

Locations

732 N Fairfield Rd
Round Lake, IL 60073
Phone (847) 740-4100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1669908695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 N FAIRFIELD RD",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600738160",
            "telephone_number": "847-740-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 N FAIRFIELD RD",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600738160",
            "telephone_number": "847-740-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS SMILES DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "KRISHNA",
        "authorized_official_first_name": "DIVYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "224-944-9399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.027134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.