Cheitali Bhansali, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-027796 Issued in IL

Practice address

8715 Ridgeland Ave
Oak Lawn, IL 60453-1001

Phone

(708) 599-8122

NPI assigned

Aug 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Southern Illinois Univ School of Dental Medicine, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• IL HMO C-SNP
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Partnership of Illinois

  • Federally Qualified Health Center (FQHC)
  • Aurora, IL
  • NPI 1932375169
  Medicare reassignment
• Family Dental Center

  • General Practice Dentistry
  • Oak Lawn, IL
  • NPI 1255504510
  NPD (past)
• Tapestry 360 Health

  dba Heartland Health Centers

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1407981392
  NPD (past)

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1003062464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 CHIPPENDALE LN",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391916",
            "telephone_number": "630-452-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 RIDGELAND AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531001",
            "telephone_number": "708-599-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANSALI",
        "first_name": "CHEITALI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-027796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Berry, EDS
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• Molly Ann Best, APN
• Rachel A. Betke, CRNA, DNP
• Richa Bhatia, DDS
• Bhavana Vaidya MD LLC
• Deepa Bhupali, M.D.
• Brianne Lynn Bidochka
• Katie Bieber, D.O.

• General Practice Dentistry in Oak Lawn, IL
• Providers in Oak Lawn, 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 Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.