Organization Active NPI

Winning Smile Dental Group, LLC

Doing business as Winning Smile Dental Group

  • General Practice Dentistry
  • Evanston, IL
National Provider Identifier
1851125405
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WINNING SMILE DENTAL GROUP, LLC
Doing business as
Winning Smile Dental Group
Practice address
2500 Ridge Ave Ste 102
Evanston, IL 60201-2468
Phone
(847) 869-1272
NPI assigned
Aug 27, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Bella Zaritsky
Title
Director
Phone
(480) 590-3396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2500 Ridge Ave Ste 102
Evanston, IL 60201-2468

Mailing address

2500 Ridge Ave Ste 102
Evanston, IL 60201-2468
Phone (847) 869-1272

Other names 1

  • Winning Smile Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2500 Ridge Ave
Ste 102
Evanston, IL 60201
Phone (847) 869-1272

Practitioners & affiliated clinicians

Practitioners 1

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": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1851125405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE STE 102",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012468",
            "telephone_number": "847-869-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE STE 102",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012468",
            "telephone_number": "847-869-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNING SMILE DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "ZARITSKY",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-590-3396"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winning Smile Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Winning Smile Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.