NPIMap

Organization Active NPI

Smiledentist, P.C.

  • Dentist
  • Chicago, IL
National Provider Identifier
1801290556
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019021646 Issued in IL
Legal business name
SMILEDENTIST, P.C.
Practice address
3403 W. Lawrence Ave
Suite 202
Chicago, IL 60625
Phone
(773) 539-1003
Fax
(773) 539-1036
NPI assigned
Oct 9, 2014
Last updated
Oct 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Dr. Sang U. Woo, D.D.SNPI 1447326905
Title
Dentist
Phone
(773) 988-8971

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
Dentist 122300000X 019021646 IL Primary

Addresses

Primary practice location

3403 W. Lawrence Ave
Suite 202
Chicago, IL 60625

Mailing address

3403 W Lawrence Ave
Suite 202
Chicago, IL 60625-5165
Phone (773) 539-1003

National Provider Directory

National Provider Directory
Tax ID family
Smiledentist PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3403 W Lawrence Ave
Ste 202
Chicago, IL 60625
Phone (773) 539-1003

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1801290556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 W LAWRENCE AVE",
            "address_2": "SUITE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255165",
            "telephone_number": "773-539-1003",
            "fax_number": "773-539-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 W. LAWRENCE AVE",
            "address_2": "SUITE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "773-539-1003",
            "fax_number": "773-539-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEDENTIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "773-988-8971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019021646",
            "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 Oct 9, 2014; 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.