Active NPI
Brighter Smile LLC
Doing business as Brighter Smile
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1740603331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019028755
- Legal business name
- BRIGHTER SMILE LLC
- Doing business as
- Brighter Smile
- Practice address
- 4845 N Milwaukee Ave
Chicago, IL 60630-2145 - Phone
- (773) 647-1093
- NPI assigned
- Feb 3, 2014
- Last updated
- Oct 7, 2025
- 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
- Michelle Beckerly
- Title
- Dentist
- Phone
- (617) 365-6261
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Customized Equipment (DME) | 332BC3200X | NU | ||
| General Practice Dentistry | 1223G0001X | 019028755 | IL | Primary |
Addresses
Primary practice location
4845 N Milwaukee Ave
Chicago, IL 60630-2145
Mailing address
4845 N Milwaukee Ave
Chicago, IL 60630-2145
Phone (773) 647-1093
Other names 1
- Brighter Smile
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Lombard, IL
- NPI 1265730063
Durable Medical Equipment & Medical Supplies
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759795200000",
"number": "1740603331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4845 N MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606302145",
"telephone_number": "773-647-1093",
"fax_number": "773-647-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4845 N MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606302145",
"telephone_number": "773-647-1093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTER SMILE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-03",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A",
"authorized_official_last_name": "BECKERLY",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "617-365-6261"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019028755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brighter Smile",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.