1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Dentist
  6. NPI Profile

BEVERLY SHORES SMILE CENTER
NPI 1467540518
Dentist - General Practice in Chicago, IL

Active since October 11, 2006
10142 S WESTERN AVE, CHICAGO, IL 60643(773) 233-3535(773) 238-5713 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beverly Shores Smile Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY SHORES SMILE CENTER (NPI 1467540518) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since October 2006. The organization lists Kristine Kowalski, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1467540518
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBEVERLY SHORES SMILE CENTER
Location Address10142 S WESTERN AVEChicago, IL 60643-1928
Mailing Address10142 S Western AveChicago, IL 60643-1928 · (773) 233-3535 · Fax (773) 238-5713
Phone(773) 233-3535
Fax(773) 238-5713
Organization SubpartNo
Authorized OfficialKristine KowalskiOffice Manager · (773) 233-3535
Enumeration DateOctober 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1467540518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10142 S WESTERN AVE, Chicago, IL 60643
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ENRICO MEDINA DDS
Dentist (General Practice)
10142 S WESTERN AVE
CHICAGO, IL 60643
Cook County (773) 233-3535

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Shores Smile Center's NPI number?

The NPI number for Beverly Shores Smile Center is 1467540518. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Beverly Shores Smile Center located?

Beverly Shores Smile Center is located at 10142 S Western Ave, Chicago, IL 60643. The listed phone number is (773) 233-3535.

What is Beverly Shores Smile Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Beverly Shores Smile Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Beverly Shores Smile Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beverly Shores Smile Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.