Active NPI
All Perfect Smiles of Elmhurst PC
- Dentist
- Elmhurst, IL
National Provider Identifier
1861995847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019021104
- Legal business name
- ALL PERFECT SMILES OF ELMHURST PC
- Practice address
- 568 S Spring Rd
Elmhurst, IL 60126-3868 - Phone
- (630) 833-5007
- Fax
- (630) 501-0689
- NPI assigned
- Mar 15, 2018
- Last updated
- Mar 15, 2018
- 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
- Oscar Geovanni Gonzalez, DDS, MBA
- Title
- Director of Operations
- Phone
- (219) 465-8627
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019021104 | IL | Primary |
Addresses
Primary practice location
568 S Spring Rd
Elmhurst, IL 60126-3868
Mailing address
568 S Spring Rd
Elmhurst, IL 60126-3868
Phone (630) 833-5007
National Provider Directory
National Provider Directory- Tax ID family
- All Perfect Smiles of Elmhurst
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba All Perfect Smiles of Elmhurst
- Dentist
- Elmhurst, IL
- NPI 1871096131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521072000000",
"number": "1861995847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "568 S SPRING RD",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601263868",
"telephone_number": "630-833-5007",
"fax_number": "630-501-0689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "568 S SPRING RD",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601263868",
"telephone_number": "630-833-5007",
"fax_number": "630-501-0689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL PERFECT SMILES OF ELMHURST PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-15",
"last_updated": "2018-03-15",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "OSCAR",
"authorized_official_middle_name": "GEOVANNI",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "219-465-8627",
"authorized_official_credential": "DDS, MBA"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019021104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.