Organization Active NPI

Brighter Smile Dentistry, P.C.

  • General Practice Dentistry
  • Skokie, IL
National Provider Identifier
1972068062
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRIGHTER SMILE DENTISTRY, P.C.
Practice address
4836 Main St Ste 1
Skokie, IL 60077-2594
Phone
(847) 600-3995
NPI assigned
Feb 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Najmus Saqib Omar
Title
Manager
Phone
(847) 600-3995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4836 Main St Ste 1
Skokie, IL 60077-2594

Mailing address

4836 Main St Ste 1
Skokie, IL 60077-2594
Phone (847) 600-3995

National Provider Directory

National Provider Directory

Locations

4836 Main St
Ste 1
Skokie, IL 60077
Phone (847) 600-3995

Practitioners & affiliated clinicians

Practitioners 1

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": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1972068062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 MAIN ST STE 1",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772594",
            "telephone_number": "847-600-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 MAIN ST STE 1",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772594",
            "telephone_number": "847-600-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTER SMILE DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "NAJMUS SAQIB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-600-3995"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.