NPIMap

Organization Active NPI

WS Dental Glenview PLLC

  • Dentist
  • Glenview, IL
National Provider Identifier
1801522636
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WS DENTAL GLENVIEW PLLC
Practice address
630 Milwaukee Ave Ste 130
Glenview, IL 60025-5655
Phone
(847) 730-3771
Fax
(847) 730-3283
NPI assigned
Jul 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Won Sung, DDSNPI 1154556462
Title
Owner
Phone
(213) 249-1765

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: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

630 Milwaukee Ave Ste 130
Glenview, IL 60025-5655

Mailing address

630 Milwaukee Ave Ste 130
Glenview, IL 60025-5655
Phone (847) 730-3771

Other names 1

  • Blissful Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1801522636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MILWAUKEE AVE STE 130",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600255655",
            "telephone_number": "847-730-3771",
            "fax_number": "847-730-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 MILWAUKEE AVE STE 130",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600255655",
            "telephone_number": "847-730-3771",
            "fax_number": "847-730-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WS DENTAL GLENVIEW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "SUNG",
        "authorized_official_first_name": "WON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-249-1765",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blissful Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.