North Shore Smile Studio LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTH SHORE SMILE STUDIO LLC

Practice address

845 N Michigan Ave Ste 951W
Chicago, IL 60611-2211

Phone

(312) 787-2131

NPI assigned

Jan 3, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Aneszko, DDSNPI 1245363332

Title

Partner

Phone

(312) 787-2131

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Water Tower Dental Care Doing business as

Electronic endpoints 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Gabriel Aneszko, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1245363332

  General Practice

  NPD (past) Authorized official
• Jennifer Kobes, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1861564379

  General Practice

  NPD
• Rana Stino, DDS

  • Dentist
  • Chicago, IL
  • NPI 1861515595
  NPD (past)

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1780345710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE STE 951W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112211",
            "telephone_number": "312-787-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE STE 951W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112211",
            "telephone_number": "312-787-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE SMILE STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "ANESZKO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "312-787-2131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245363332",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861515595",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "draneszko@watertowerdentalcare.com",
            "affiliation": "N",
            "address_1": "845 N Michigan Ave Ste 951W",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606112211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Water Tower Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Shore Medical Transportation LLC
• North Shore Optical Inc.
• North Shore Optical Inc.
• North Shore Physicians Group, LLC
• North Shore Psychotherapy, PLLC
• North Side Audiology Group, Inc.
• North Side Neurology SC
• North Star Clinical Therapy PLLC
• North Star Pharmacy Inc
• North Suburban Associated Physicians, Inc.

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.