Big Smiles Dentistry Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027070 Issued in IL

Legal business name

BIG SMILES DENTISTRY CORP.

Practice address

1304 W Washington Blvd Ste B1
Chicago, IL 60607-1928

Phone

(312) 890-9226

NPI assigned

Aug 25, 2011

Last updated

Aug 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tamaara Morris, DDS

Title

Ceo

Phone

(312) 890-9226

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1861772535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 W WASHINGTON BLVD STE B1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 W WASHINGTON BLVD STE B1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071928",
            "telephone_number": "312-890-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SMILES DENTISTRY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "TAMAARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-890-9226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.