Organization Active NPI

Smile Concepts LLC

  • Dental Clinic/Center
  • Schererville, IN
National Provider Identifier
1952919847
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE CONCEPTS LLC
Practice address
1519 US Highway 41 Ste B8
Schererville, IN 46375-1373
Phone
(219) 319-0108
Fax
(219) 440-7438
NPI assigned
Jul 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Dr. Jorge Rodriguez Jorda, DDS
Title
Member
Phone
(219) 319-0108

Specialties & licenses 1

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

Addresses

Primary practice location

1519 US Highway 41 Ste B8
Schererville, IN 46375-1373

Mailing address

8455 W 101St PL
Saint John, IN 46373-7703
Phone (786) 838-3683

National Provider Directory

National Provider Directory

Locations

1519 US Highway 41
Ste B8
Schererville, IN 46375
Phone (219) 319-0108

Practitioners & affiliated clinicians

Practitioners 3

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": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1952919847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 W 101ST PL",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463737703",
            "telephone_number": "786-838-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 US HIGHWAY 41 STE B8",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751373",
            "telephone_number": "219-319-0108",
            "fax_number": "219-440-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ JORDA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "219-319-0108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 Jul 17, 2020; 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.