SMILE SUPPORT LTD (NPI# 1316131311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316131311 |
| Entity Type | Organization |
| Organization Name | SMILE SUPPORT LTD |
| Practice Address |
1507 E 53rd St Unit 166 Chicago IL 60615-4509 |
| Practice Telephone | 7734120094 |
| Mailing Telephone | 7734120094 |
| Enumeration Date | 2007-09-01 |
| Last Update Date | 2007-09-01 |
| Authorized Official Name | DR. TWANA EDWARDS (PRESIDENT/CEO) |
| Authorized Official Telephone | 7734120094 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
1507 E 53RD ST UNIT 166 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811032139 | Nicole Allen Burroughs | Speech-Language Pathologist | 1507 E 53rd St, Unit 703, Chicago, IL 60615-4573 | 2007-02-21 |
| 1730672825 | Erika Rae Grisell | Speech-Language Pathologist | 1507 E 53rd St, Chicago, IL 60615-4573 | 2018-06-13 |
| 1740716869 | Project180-chicago | Community Based Residential Treatment Facility, Mental Illness | 1507 E 53rd St, Unit 247, Chicago, IL 60615-4573 | 2017-05-10 |
| 1750827176 | Rashad K Saafir | Psychologist | 1507 E 53rd St, Suite 152, Chicago, IL 60615-4573 | 2017-01-09 |
| 1457745192 | Devon Berry | Nurse Practitioner | 1507 E 53rd St, #401, Chicago, IL 60615-4573 | 2015-03-19 |
| 1740673599 | Amccain LLC | Early Intervention Provider Agency | 1507 E 53rd St, #932, Chicago, IL 60615-4573 | 2015-03-17 |
| 1548682776 | Grow With M.e. Inc. | Early Intervention Provider Agency | 1507 E 53rd St, Suite 848, Chicago, IL 60615-4573 | 2014-01-07 |
| 1467786749 | Socially Speaking 4 Kids, Inc. | Day Training, Developmentally Disabled Services | 1507 E 53rd St, Unit 703, Chicago, IL 60615-4573 | 2009-09-20 |
| 1528259959 | Lacanda Willis | Driver | 1507 E 53rd St, Suite 283, Chicago, IL 60615-4509 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1710598271 | Amandeep Kaur Brar | Dentist | 1255 S Michigan Ave Apt 3704, Chicago, IL 60605-3324 | 2020-08-10 |
| 1770193971 | Alex Sarpong | Dentist | 801 S Paulina St Rm 361, Chicago, IL 60612-7210 | 2020-08-03 |
| 1285243675 | Alicia Marie Karczewski | Dentist | 845 N Michigan Ave Ste 922e, Chicago, IL 60611-2194 | 2020-07-30 |
| 1740898154 | Zeeshan Anjum | Dentist | 2322 S Canal St Unit 402, Chicago, IL 60616-2021 | 2020-07-22 |
| 1619594835 | Rizina Hakimiyan | Dentist | 4849 N Milwaukee Ave Ste 403, Chicago, IL 60630-2169 | 2020-07-03 |
| 1235756735 | Payal K Shah | Dentist | 330 N Jefferson St Apt 1906, Chicago, IL 60661-1322 | 2020-06-30 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1023633054 | Jennifer Kirk Munaretto | Dentist | 1224 W Van Buren St Apt 801, Chicago, IL 60607-3367 | 2020-06-16 |
| 1669097614 | Seon Gyeong Park | Dentist | 1150 W 15th St Unit 236, Chicago, IL 60608-3688 | 2020-06-15 |
| Find all providers in CHICAGO | ||||
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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.