Organization Active NPI

Hare Krishna Dental PLLC

  • General Practice Dentistry
  • Lisle, IL
National Provider Identifier
1043947260
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HARE KRISHNA DENTAL PLLC
Practice address
2783 Maple Ave
Lisle, IL 60532-3280
Phone
(630) 857-3444
NPI assigned
Aug 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

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

Authorized official

Name
Dr. Pallavi Agarwal, DDSNPI 1821336322
Title
Owner/Dentist
Phone
(312) 206-4939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2783 Maple Ave
Lisle, IL 60532-3280

Mailing address

2783 Maple Ave
Lisle, IL 60532-3280
Phone (630) 857-3444

Other names 1

  • Steeple Run Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2783 Maple Ave
Lisle, IL 60532
Phone (630) 857-3444

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659830400000",
    "number": "1043947260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 MAPLE AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323280",
            "telephone_number": "630-857-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 MAPLE AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323280",
            "telephone_number": "630-857-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARE KRISHNA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "PALLAVI",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "312-206-4939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steeple Run Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; 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.