Meghana Prabha DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MEGHANA PRABHA DDS PC

Practice address

2202 1/2 Algonquin Rd
Rolling Meadows, IL 60008-3608

Phone

(847) 870-0888

NPI assigned

Oct 10, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Meghana V Prabha, DDSNPI 1396290045

Title

Director

Phone

(847) 222-3760

Specialties & licenses 1

Addresses

Other names 1

• Willow Bend Dental Care Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meghana Prabha, D.D.S.

  • General Practice Dentistry
  • Buffalo Grove, IL
  • NPI 1396290045
  NPD Authorized official
• Gerald W Malis, DDS

  • General Practice Dentistry
  • Rolling Meadows, IL
  • NPI 1114946670
  NPD (past)

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1033938501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 CREEK BEND DR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600613307",
            "telephone_number": "847-222-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 1/2 ALGONQUIN RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083608",
            "telephone_number": "847-870-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGHANA PRABHA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "PRABHA",
        "authorized_official_first_name": "MEGHANA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-222-3760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Bend Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willow Bend Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Rose McDermott
• Kevin P McKian
• Kenneth McQuade, M.D.
• Meadows
• Medpoint Healthcare LLC
• Ami Mehta
• Meijer Great Lakes Limited Partnership
• Patrick Mercho, MD
• Meridian Palliative & Hospice Care Services LLC
• Marina Messinger, M.D.

• Dental Clinic/Center in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.