NPIMap

Organization Active NPI

Smile Central

  • Dentist
  • Chicago, IL
National Provider Identifier
1750754792
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019022787 Issued in IL
Legal business name
SMILE CENTRAL
Practice address
7131 N Ridge Blvd
Chicago, IL 60645-3616
Phone
(773) 764-7575
Fax
(773) 764-2951
NPI assigned
Nov 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Dr. Gregory Chipp, D.D.S.NPI 1861540171
Title
President
Phone
(773) 764-7575

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 019022787 IL Primary

Addresses

Primary practice location

7131 N Ridge Blvd
Chicago, IL 60645-3616

Mailing address

7131 N Ridge Blvd
Chicago, IL 60645-3616
Phone (773) 764-7575

National Provider Directory

National Provider Directory

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": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1750754792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 N RIDGE BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453616",
            "telephone_number": "773-764-7575",
            "fax_number": "773-764-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 N RIDGE BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453616",
            "telephone_number": "773-764-7575",
            "fax_number": "773-764-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CENTRAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "CHIPP",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-764-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019022787",
            "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 Nov 12, 2015; 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.