SMILE EXPERTS DENTAL ASSOCIATES (NPI# 1164848750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164848750 |
| Entity Type | Organization |
| Organization Name | SMILE EXPERTS DENTAL ASSOCIATES |
| Practice Address |
1515 W Walnut St Jacksonville IL 62650-1150 |
| Practice Telephone | 2172451190 |
| Practice Fax Number | 2172910401 |
| Mailing Telephone | 2172451190 |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |
| Authorized Official Name | DR. SHEETAL SHARMA (DOCTOR) |
| Authorized Official Telephone | 6309017784 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 019028573 | IL | Managed Care Organizations |
| Street Address |
1515 W WALNUT ST |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558333633 | Allen G Gerberding | Family Medicine | 1515 W Walnut St, Jacksonville, IL 62650-1150 | 2006-02-03 |
| 1740777093 | Tamara Breckon | Nurse Practitioner | 1515 W Walnut St, Jacksonville, IL 62650 | 2018-04-21 |
| 1629465414 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 1515 W Walnut St, Suite 12, Jacksonville, IL 62650-1150 | 2015-04-20 |
| 1609177005 | Madhusudan Vallala M.d., S.c. | Internal Medicine | 1515 W Walnut St, Jacksonville, IL 62650-1150 | 2010-11-16 |
| 1295068856 | Eldon G. Barrowes | Dentist | 1515 W Walnut St, Bldg. #3, Jacksonville, IL 62650-1150 | 2009-09-15 |
| 1962650150 | Lynch Family Dentistry, P.C. | Clinic/Center | 1515 W Walnut St, Building 5, Jacksonville, IL 62650-1150 | 2008-09-03 |
| 1891960753 | Ronald R Lynch Dmd Ltd | Clinic/Center | 1515 W Walnut St, Jacksonville, IL 62650-1150 | 2008-04-22 |
| 1295952422 | Robert A. Krueger, D.d.s., Ltd. | Dentist | 1515 W Walnut St, #8, Jacksonville, IL 62650-1150 | 2007-04-19 |
| 1477677995 | Foot and Ankle Associates of Central Illinois LLC | Durable Medical Equipment & Medical Supplies | 1515 W Walnut St, Suite 12, Jacksonville, IL 62650-1150 | 2007-03-19 |
| 1497883862 | Thomas Michael Loughary | Dentist | 1515 W Walnut St, Building 10, Jacksonville, IL 62650-1150 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447808894 | Doctorology, LLC | Exclusive Provider Organization | 6440 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8003 | 2019-08-29 |
| 1144761933 | Jthealth, LLC | Exclusive Provider Organization | 11764 Marco Beach Dr Ste 9a, Jacksonville, FL 32224-7684 | 2017-03-14 |
| 1487015947 | Purposeworks, LLC | Exclusive Provider Organization | 11701 Palm Lake Dr, Apt 1610, Jacksonville, FL 32218-0903 | 2016-03-11 |
| 1598133563 | Community Income Tax of Jacksonville | Exclusive Provider Organization | 2506 Jammes Rd, Unit 14, Jacksonville, FL 32210-3786 | 2015-09-09 |
| 1104226158 | Alliance Physician Group LLC | Exclusive Provider Organization | 855 Saint Johns Bluff Rd N, Sky Harbor, Unit 703, Jacksonville, FL 32225-7309 | 2014-08-27 |
| 1164834602 | Dobson Healthcare Consulting, Inc | Exclusive Provider Organization | 11239 Island Club Ln, Jacksonville, FL 32225-4067 | 2014-06-02 |
| 1073740338 | Sucoree Enterprise, Pllc | Exclusive Provider Organization | 609 Richlands Hwy Ste 8, Jacksonville, NC 28540-3606 | 2009-06-14 |
| 1134378078 | Pcp Financial Services LLC | Exclusive Provider Organization | 7855 Argyle Forest Blvd Ste 101, Jacksonville, FL 32244-5597 | 2008-09-16 |
| 1740320076 | Onslow Doctors Care Incorporated | Exclusive Provider Organization | 325 Western Blvd, Jacksonville, NC 28546-6341 | 2007-02-07 |
| 1790748960 | Omni Clinic Pa | Exclusive Provider Organization | 22 Office Park Dr, Jacksonville, NC 28546-7325 | 2006-04-10 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 62650 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.