Organization Active NPI

Smart Mouth Dental P.C.

  • Dental Clinic/Center
  • Woodridge, IL
National Provider Identifier
1891189189
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
19026697 Issued in IL
Legal business name
SMART MOUTH DENTAL P.C.
Practice address
7105 Janes Ave
Woodridge, IL 60517-2321
Phone
(630) 963-7766
Fax
(630) 963-7850
NPI assigned
Mar 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Dr. Kathleen Wegner Barto, D.D.S.
Title
President
Phone
(630) 963-7766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 19026697 IL Primary

Addresses

Primary practice location

7105 Janes Ave
Woodridge, IL 60517-2321

Mailing address

7105 Janes Ave
Woodridge, IL 60517-2321
Phone (630) 963-7766

National Provider Directory

National Provider Directory

Locations

7105 Janes Ave
Woodridge, IL 60517
Phone (630) 963-7766

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": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1891189189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 JANES AVE",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172321",
            "telephone_number": "630-963-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 JANES AVE",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172321",
            "telephone_number": "630-963-7766",
            "fax_number": "630-963-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART MOUTH DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "BARTO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "WEGNER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-963-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "19026697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.