NPIMap

Organization Active NPI

Winsmile Orthodontics & Cosmetic Dentistry

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Aurora, IL
National Provider Identifier
1932447026
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
021.002480, 019.0275 Issued in IL
Legal business name
WINSMILE ORTHODONTICS & COSMETIC DENTISTRY
Practice address
633 S Route 59
Aurora, IL 60504-8169
Phone
(630) 210-6916
Fax
(331) 472-4981
NPI assigned
Jan 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Dr. Xin Wang
Title
Owner
Phone
(630) 210-6916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 021.002480, 019.0275 IL Primary

Addresses

Primary practice location

633 S Route 59
Aurora, IL 60504-8169

Mailing address

633 S Route 59
Aurora, IL 60504-8169
Phone (630) 210-6916

Other names 1

  • Winsmile Dental Specialties Former legal business name

National Provider Directory

National Provider Directory

Locations

633 S Route 59
Aurora, IL 60504
Phone (630) 210-6916

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1932447026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 S ROUTE 59",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048169",
            "telephone_number": "630-210-6916",
            "fax_number": "331-472-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 S ROUTE 59",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048169",
            "telephone_number": "630-210-6916",
            "fax_number": "331-472-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSMILE ORTHODONTICS & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "XIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-210-6916",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021.002480, 019.0275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winsmile Dental Specialties",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.