Individual provider Active NPI

Meera Narasimhan, D.D.S

  • General Practice Dentistry
  • Wheaton, IL
National Provider Identifier
1073674180
Registry record updated Dec 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019026826 Issued in IL
Practice address
26W136 Waterbury CT
Suite 109
Wheaton, IL 60187-1306
Phone
(646) 373-7477
NPI assigned
Dec 12, 2006
Last updated
Dec 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019026826 IL Primary

Addresses

Primary practice location

26W136 Waterbury CT
Suite 109
Wheaton, IL 60187-1306

Mailing address

496 W Army Trail Rd
Carol Stream, IL 60188-9366
Phone (630) 221-1577

Other identifiers 1

IdentifierTypeStateIssuer
9180081MedicaidIL

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

LicenseStateTypeSpecialty
019026826ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Meera Narsimhan DDS Inc Current Accepting new patients

Locations

496 W Army Trail Rd
Carol Stream, IL 60188
Phone (630) 221-1577

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387065600000",
    "number": "1073674180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 W ARMY TRAIL RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889366",
            "telephone_number": "630-221-1577",
            "fax_number": "630-221-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26W136 WATERBURY CT",
            "address_2": "SUITE 109",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601871306",
            "telephone_number": "646-373-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARASIMHAN",
        "first_name": "MEERA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9180081",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2013; 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.