Organization Active NPI

William J Frericks, DDS, LTD

Doing business as The Magnificent Smile

  • Dentist
  • Chicago, IL
National Provider Identifier
1790204386
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WILLIAM J FRERICKS, DDS, LTD
Doing business as
The Magnificent Smile
Practice address
500 N Michigan Ave Ste 520
Chicago, IL 60611-3755
Phone
(312) 337-4424
Fax
(312) 822-0876
NPI assigned
Sep 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. William Joseph Frericks, DDSNPI 1427050608
Title
Owner
Phone
(312) 337-4424

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 Primary

Addresses

Primary practice location

500 N Michigan Ave Ste 520
Chicago, IL 60611-3755

Mailing address

500 N Michigan Ave Ste 520
Chicago, IL 60611-3755
Phone (312) 337-4424

Other names 1

  • The Magnificent Smile Doing business as

National Provider Directory

National Provider Directory

Locations

500 N Michigan Ave
Ste 520
Chicago, IL 60611
Phone (312) 337-4424

Practitioners & affiliated clinicians

Practitioners 4

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": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790204386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MICHIGAN AVE STE 520",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113755",
            "telephone_number": "312-337-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MICHIGAN AVE STE 520",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113755",
            "telephone_number": "312-337-4424",
            "fax_number": "312-822-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J FRERICKS, DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FRERICKS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-337-4424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Magnificent 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 Jul 21, 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.