Rahul Tandon, DMD, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

021.003058 Issued in IL

Practice address

930 N York Rd Ste 140
Hinsdale, IL 60521-8680

Phone

(630) 655-3333

NPI assigned

May 18, 2011

Last updated

Feb 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Krishneha PLLC Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Krishneha PLLC

  dba Hinsdale Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Hinsdale, IL
  • NPI 1598463317
  NPD Authorized official
• Louis N Korompilas DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Orland Park, IL
  • NPI 1609947498
  NPD (past)

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676073600000",
    "number": "1053604413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N YORK RD STE 140",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218680",
            "telephone_number": "630-655-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N YORK RD STE 140",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218680",
            "telephone_number": "630-655-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10713 W 159th St",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604674531",
            "country_code": "US",
            "telephone_number": "708-301-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANDON",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "021.003058",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7594406",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISHNEHA",
            "last_name": "PLLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Muhammad Anas Tabani
• Karen L Tabloff, LCSW
• Talat Ghaus MD, LLC
• Maureen Patrice Tamillow, LCPC
• Dragana Tanasic
• Ramsha Ali Tanwir, DPM
• Sakina Tapia, M.D.
• Marissa Margaret Tassone, D.O
• Marvin E Tazelaar, D.C.
• Melissa N Tednes, AUD

• Oral and Maxillofacial Surgery (Dentist) in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; 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.