Organization Active NPI

Smile Design Dental

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1679010318
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
019025729 Issued in IL
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

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Ronnie Piro, D.M.DNPI 1376671966
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.