Individual provider Active NPI

Dimple Tejani, D.D.S.

  • General Practice Dentistry
  • Arlington Heights, IL
National Provider Identifier
1104924695
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-025474 Issued in IL
Practice address
121 W Wing St
Arlington Heights, IL 60005-1433
Phone
(847) 255-3185
Fax
(847) 255-9890
NPI assigned
Sep 20, 2006
Last updated
Nov 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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 019-025474 IL Primary

Addresses

Primary practice location

121 W Wing St
Arlington Heights, IL 60005-1433

Mailing address

121 W Wing St
Arlington Heights, IL 60005-1433
Phone (847) 255-3185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 14, 2022 through Dec 14, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019-025474ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
All About Smiles Current Accepting new patients

Locations

121 W Wing St
Arlington Heights, IL 60005
Phone (847) 255-3185

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1104924695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W WING ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051433",
            "telephone_number": "847-255-3185",
            "fax_number": "847-244-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W WING ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051433",
            "telephone_number": "847-255-3185",
            "fax_number": "847-255-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJANI",
        "first_name": "DIMPLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-025474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.