NPIMap

Organization Active NPI

Smile View Dental

  • General Practice Dentistry
  • West Chicago, IL
National Provider Identifier
1992133649
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024809 Issued in IL
Legal business name
SMILE VIEW DENTAL
Practice address
956 N Neltnor Blvd
West Chicago, IL 60185-5982
Phone
(630) 293-7777
NPI assigned
Oct 16, 2013
Organization subpart
Yes
Parent organization
TWO RIVERS DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Sohail S Shafi
Title
Manager
Phone
(630) 842-3705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019024809 IL Primary

Addresses

Primary practice location

956 N Neltnor Blvd
West Chicago, IL 60185-5982

Mailing address

1730 Park St Ste 106
Naperville, IL 60563-2609
Phone (630) 293-7777

National Provider Directory

National Provider Directory
Tax ID family
Simply Dental8 organizations share this tax ID, including this one
Part of
Simply Dental

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8729 S Harlem Ave
Bridgeview, IL 60455
Phone (708) 599-6600

956 N Neltnor Blvd
West Chicago, IL 60185
Phone (630) 293-7777

Practitioners & affiliated clinicians

Practitioners 2

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": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1992133649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PARK ST STE 106",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632609",
            "telephone_number": "630-293-7777",
            "fax_number": "708-599-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 N NELTNOR BLVD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601855982",
            "telephone_number": "630-293-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE VIEW DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TWO RIVERS DENTAL PC",
        "enumeration_date": "2013-10-16",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-842-3705"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.