Organization Active NPI

Luminous Smiles LTD

  • Dentist
  • Palatine, IL
National Provider Identifier
1851783153
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019027444 Issued in IL
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

Updated by the provider on May 21, 2015

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.