Den-Care Smile Center

Primary specialty

DentistTaxonomy code 122300000X

License

319.019154019.030011 Issued in IL

Legal business name

DEN-CARE SMILE CENTER

Practice address

2127 Green Bay Rd
North Chicago, IL 60064-2801

Phone

(847) 336-8478

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Gustav Kozina

Title

Dentist

Phone

(847) 336-8478

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1831598374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600642801",
            "telephone_number": "847-336-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600642801",
            "telephone_number": "847-336-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEN-CARE SMILE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "KOZINA",
        "authorized_official_first_name": "GUSTAV",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-336-8478",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "319.019154019.030011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Degrote, PHARM.D.
• Angelo Deguzman
• Edgar Del Real, RN
• Peter Lituanas Deligero
• Mary Dembowski
• Daniel Adam Derylo
• Tiffany Ann Deshazor, LCSW
• Manisha Devi
• Bhupinder Kaur Dhanoa, REGISTERED NURSE
• Lourdes Diaz

• Dentist in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.