Organization Active NPI

Grand Smiles, PC

  • General Practice Dentistry
  • Schererville, IN
National Provider Identifier
1891582979
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GRAND SMILES, PC
Practice address
322 Indianapolis Blvd Ste 106
Schererville, IN 46375-4204
Phone
(773) 614-0397
NPI assigned
Apr 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Dr. Mohamed Waheed, DDS
Title
Owner
Phone
(773) 614-0397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

322 Indianapolis Blvd Ste 106
Schererville, IN 46375-4204

Mailing address

229 W Grand Ave Ste W
Bensenville, IL 60106-3365
Phone (630) 574-9600

National Provider Directory

National Provider Directory

Locations

229 W Grand Ave
Ste W
Bensenville, IL 60106
Phone (630) 574-9600

322 Indianapolis Blvd
Ste 106
Schererville, IN 46375
Phone (219) 244-6643

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1891582979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 W GRAND AVE STE W",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063365",
            "telephone_number": "630-574-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 INDIANAPOLIS BLVD STE 106",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463754204",
            "telephone_number": "773-614-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND SMILES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "WAHEED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-614-0397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schererville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.