Healthy Smiles of la Grange, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019029531 Issued in IL

Legal business name

HEALTHY SMILES OF LA GRANGE, PC

Practice address

1400 W 47TH St
Unit 7
La Grange, IL 60525-6141

Phone

(708) 482-4420

NPI assigned

Mar 23, 2015

Last updated

Mar 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Isaac A Qureshi, DDSNPI 1649612839

Title

General Dentist

Phone

(708) 482-4420

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Isaac A Qureshi, D.D.S.

  • Dentist
  • La Grange, IL
  • NPI 1649612839
  NPD (past) Authorized official
• Jazmin De Maria Serna, DMD

  • General Practice Dentistry
  • La Grange, IL
  • NPI 1316832975
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1750775276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W 47TH ST",
            "address_2": "UNIT 7",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256141",
            "telephone_number": "708-482-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 47TH ST",
            "address_2": "UNIT 7",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256141",
            "telephone_number": "708-482-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES OF LA GRANGE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "QURESHI",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "708-482-4420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019029531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Louise Harvey, OTD
• Natalia Harvey, M.A., CCC-SLP
• Jafar Syed Hasan, M.D.
• Naureen Hasan, DO
• Samia Haseeb, DPT
• Hearthstone P.C.
• Lauren Gina Heckenkemper, OTR/L
• Robert Anthony Heelan
• Cecilia Carroll Heiges, O.D.
• High-Tech Imaging, Inc.

• Dental Clinic/Center in La Grange, IL
• Providers in La Grange, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.