Shining Smiles LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019028115 Issued in IN

Legal business name

SHINING SMILES LLC

Practice address

210 N Bolingbrook Dr
Bolingbrook, IL 60440-2386

Phone

(312) 217-2223

NPI assigned

Jul 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Milad Nourahmadi Nourahmadi, D.D.S.NPI 1023240918

Title

President

Phone

(312) 217-2223

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milad Nourahmadi, D.D.S.

  • General Practice Dentistry
  • Bolingbrook, IL
  • NPI 1023240918
  NPD Authorized official

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1972816650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N RIVER RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404040",
            "telephone_number": "312-217-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N BOLINGBROOK DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402386",
            "telephone_number": "312-217-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "NOURAHMADI",
        "authorized_official_first_name": "MILAD",
        "authorized_official_middle_name": "NOURAHMADI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-217-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "019028115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Sherdan, RPH
• Brooke Sheridan, NP
• Sherry Rowland
• Christine Shih, MD
• Sarah Shin, LPC
• Milind Sham Shirsat, DO
• Anar K Shroff, D.P.T
• Tasin Shuaipaj, M.D.
• Zubair Siddiqui, D.C.
• Courtney M Siewak, LCPC

• General Practice Dentistry in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.