Organization Active NPI

Smile Dental Works LTD

  • General Practice Dentistry
  • Schaumburg, IL
National Provider Identifier
1922153659
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019023613 Issued in IL
Legal business name
SMILE DENTAL WORKS LTD
Practice address
1222 N Roselle Rd
Schaumburg, IL 60195-3642
Phone
(847) 310-0022
Fax
(847) 310-8497
NPI assigned
Jan 24, 2007
Last updated
Sep 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Dr. Sandra D Villamil, D.D.S.NPI 1023225554
Title
President
Phone
(847) 310-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019023613 IL Primary

Addresses

Primary practice location

1222 N Roselle Rd
Schaumburg, IL 60195-3642

Mailing address

1222 N Roselle Rd
Schaumburg, IL 60195-3642
Phone (847) 310-0022

Other identifiers 1

IdentifierTypeStateIssuer
9185883MedicaidIL

National Provider Directory

National Provider Directory

Locations

1222 N Roselle Rd
Schaumburg, IL 60195
Phone (847) 310-0022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1922153659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 N ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953642",
            "telephone_number": "847-310-0022",
            "fax_number": "847-310-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 N ROSELLE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953642",
            "telephone_number": "847-310-0022",
            "fax_number": "847-310-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DENTAL WORKS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "VILLAMIL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-310-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9185883",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.