Organization Active NPI

Smiles of Round Lake PC

  • General Practice Dentistry
  • Round Lake, IL
National Provider Identifier
1700900875
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILES OF ROUND LAKE PC
Practice address
201 W Washington St
Round Lake, IL 60073-2901
Phone
(847) 546-1542
Fax
(847) 546-1560
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hilehito Lin, DDSNPI 1568586535
Title
President
Phone
(630) 303-4143

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

201 W Washington St
Round Lake, IL 60073-2901

Mailing address

201 W Washington St
Round Lake, IL 60073-2901
Phone (847) 546-1542

National Provider Directory

National Provider Directory

Locations

201 W Washington St
Round Lake, IL 60073
Phone (847) 546-1542

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700900875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W WASHINGTON ST",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600732901",
            "telephone_number": "847-546-1542",
            "fax_number": "847-546-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W WASHINGTON ST",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600732901",
            "telephone_number": "847-546-1542",
            "fax_number": "847-546-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES OF ROUND LAKE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "HILEHITO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-303-4143",
        "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 Round Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.