Organization Active NPI

All Perfect Smiles of Elmhurst PC

  • Dentist
  • Elmhurst, IL
National Provider Identifier
1861995847
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019021104 Issued in IL
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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)CodeLicenseStatePrimary
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 Elmhurst2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.