Active NPI
Smile Dental Center of Chicago
- Dentist
- Chicago, IL
National Provider Identifier
1962891457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019021207
- Legal business name
- SMILE DENTAL CENTER OF CHICAGO
- Practice address
- 25 E Washington St
2027
Chicago, IL 60602-1708 - Phone
- (312) 920-9970
- Fax
- (312) 920-9971
- NPI assigned
- Jan 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Panorea Tsilimigras, DDS
- Title
- President
- Phone
- (312) 920-9970
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019021207 | IL | Primary |
Addresses
Primary practice location
25 E Washington St
2027
Chicago, IL 60602-1708
Mailing address
25 E Washington St Ste 2027
2027
Chicago, IL 60602-1817
Phone (312) 920-9970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1004032 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
25 E Washington St
Ste 2027
Chicago, IL 60602
Phone (312) 920-9970
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1851417265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421798400000",
"number": "1962891457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 E WASHINGTON ST STE 2027",
"address_2": "2027",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021817",
"telephone_number": "312-920-9970",
"fax_number": "312-920-9971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E WASHINGTON ST",
"address_2": "2027",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021708",
"telephone_number": "312-920-9970",
"fax_number": "312-920-9971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE DENTAL CENTER OF CHICAGO",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-21",
"last_updated": "2015-01-21",
"status": "A",
"authorized_official_last_name": "TSILIMIGRAS",
"authorized_official_first_name": "PANOREA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-920-9970",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "IL",
"license": "019021207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1004032",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.