Rajan Verma, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

19-026273 Issued in IL

Practice address

2020 E Main St
St Charles, IL 60174-2304

Phone

(630) 513-7884

Fax

(630) 513-7849

NPI assigned

May 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pro Dental Concepts

  • Dentist
  • West Chicago, IL
  • NPI 1538377759
  NPD (past) Authorized official

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1063620334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2393 BAINBRIDGE BLVD",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601856423",
            "telephone_number": "630-584-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742304",
            "telephone_number": "630-513-7884",
            "fax_number": "630-513-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "RAJAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-19",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "049649",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "19-026273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Vaughan, MS,OTR/L
• Dulce E. Vazquez, D.C.
• Emily Vellender, BCBA
• Lekshmi R Venugopal, M.D.
• Pracedes Del Mundo Vergara, NP
• Pamela Renee Verner, MSW, LCSW
• Theresa Versaci
• Vertical Family Healthcare
• Vianova Psychology, PLLC
• Jeff T Victor, D.O.

• Dentist in St Charles, IL
• Providers in St Charles, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.