Active NPI
Apis Nikrodhanond, PHDH, RDH
- Advanced Practice Dental Therapist
- Joliet, IL
National Provider Identifier
1063137834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Dental Therapist
- License
- 020.013083
- Practice address
- 1106 Neal Ave
Joliet, IL 60433-2548 - Phone
- (815) 727-8670
- NPI assigned
- Oct 5, 2022
- Last updated
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Dental Therapist | 125K00000X | 020.013083 | IL | Primary |
Addresses
Primary practice location
1106 Neal Ave
Joliet, IL 60433-2548
Mailing address
745 W Exchange St
Crete, IL 60417-2002
Phone (708) 508-0227
Other names 1
- Apischaya Nikrodhanond
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020.013083 | IL | MD | Advanced Practice Dental Therapist |
Interoperability endpoints
- apis.nikrodhanond.p25@direct.willcounty.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1063137834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 W EXCHANGE ST",
"city": "CRETE",
"state": "IL",
"postal_code": "604172002",
"telephone_number": "708-508-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 NEAL AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604332548",
"telephone_number": "815-727-8670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKRODHANOND",
"first_name": "APIS",
"credential": "PHDH, RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "125K00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Dental Therapist",
"state": "IL",
"license": "020.013083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "APISCHAYA",
"last_name": "NIKRODHANOND",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.