Active NPI
Smiles of Hope Incorporated
- Dental Clinic/Center
- Berwyn, IL
National Provider Identifier
1770968125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 019019096
- Legal business name
- SMILES OF HOPE INCORPORATED
- Practice address
- 3218 Kenilworth Ave
Berwyn, IL 60402-3003 - Phone
- (630) 935-4507
- NPI assigned
- Jul 28, 2015
- 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
- Dr. Richard William Ziegler, DDS
- Title
- Executive Director
- Phone
- (630) 935-4507
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 019019096 | IL | Primary |
Addresses
Primary practice location
3218 Kenilworth Ave
Berwyn, IL 60402-3003
Mailing address
3218 Kenilworth Ave
Berwyn, IL 60402-3003
Phone (630) 935-4507
National Provider Directory
National Provider DirectoryLocations
3218 Kenilworth Ave
Berwyn, IL 60402
Phone (630) 935-4507
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Berwyn, IL
- NPI 1265473938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438041600000",
"number": "1770968125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3218 KENILWORTH AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023003",
"telephone_number": "630-935-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3218 KENILWORTH AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023003",
"telephone_number": "630-935-4507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILES OF HOPE INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-28",
"last_updated": "2015-07-28",
"status": "A",
"authorized_official_last_name": "ZIEGLER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "630-935-4507",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "IL",
"license": "019019096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.