Active NPI
Luminous Smiles LTD
- Dentist
- Palatine, IL
National Provider Identifier
1851783153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019027444
- Legal business name
- LUMINOUS SMILES LTD
- Practice address
- 1332 N Rand Rd
Palatine, IL 60074-2918 - Phone
- (847) 358-1388
- NPI assigned
- Feb 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sandhya Grace Pallam, DDS
- Title
- President
- Phone
- (224) 805-0502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019027444 | IL | Primary |
Addresses
Primary practice location
1332 N Rand Rd
Palatine, IL 60074-2918
Mailing address
1332 N Rand Rd
Palatine, IL 60074-2918
Phone (847) 358-1388
National Provider Directory
National Provider DirectoryLocations
537 E Dundee Rd
Palatine, IL 60074
Phone (847) 907-0585
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Palatine, IL
- NPI 1811061724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432166400000",
"number": "1851783153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1332 N RAND RD",
"city": "PALATINE",
"state": "IL",
"postal_code": "600742918",
"telephone_number": "847-358-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 N RAND RD",
"city": "PALATINE",
"state": "IL",
"postal_code": "600742918",
"telephone_number": "847-358-1388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMINOUS SMILES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-23",
"last_updated": "2015-05-21",
"status": "A",
"authorized_official_last_name": "PALLAM",
"authorized_official_first_name": "SANDHYA",
"authorized_official_middle_name": "GRACE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "224-805-0502",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": "019027444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.