Active NPI
Smile Design Dental
- Clinic/Center
- Chicago, IL
National Provider Identifier
1679010318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 019025729
- Legal business name
- SMILE DESIGN DENTAL
- Practice address
- 6278 N Cicero Ave
Chicago, IL 60646-4918 - Phone
- (773) 202-9955
- Fax
- (773) 202-9957
- NPI assigned
- Jan 19, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronnie Piro, D.M.D
- Title
- Owner
- Phone
- (773) 202-9955
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 019025729 | IL | Primary |
Addresses
Primary practice location
6278 N Cicero Ave
Chicago, IL 60646-4918
Mailing address
6278 N Cicero Ave
Chicago, IL 60646-4918
Phone (773) 202-9955
National Provider Directory
National Provider DirectoryLocations
6278 N Cicero Ave
Chicago, IL 60646
Phone (773) 202-9955
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1376671966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484784000000",
"number": "1679010318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6278 N CICERO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606464918",
"telephone_number": "773-202-9955",
"fax_number": "773-202-9957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6278 N CICERO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606464918",
"telephone_number": "773-202-9955",
"fax_number": "773-202-9957"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE DESIGN DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-19",
"last_updated": "2017-01-19",
"status": "A",
"authorized_official_last_name": "PIRO",
"authorized_official_first_name": "RONNIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-202-9955",
"authorized_official_credential": "D.M.D"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "IL",
"license": "019025729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.