Active NPI
Muna Sigdel
- General Practice Dentistry
- Berwyn, IL
National Provider Identifier
1114506763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.033522
- Practice address
- 3218 Kenilworth Ave
Berwyn, IL 60402-3003 - Phone
- (708) 795-1255
- NPI assigned
- Apr 2, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 019.033522 | IL | Primary |
Addresses
Primary practice location
3218 Kenilworth Ave
Berwyn, IL 60402-3003
Mailing address
3218 Kenilworth Ave
Berwyn, IL 60402-3003
Other practice location 1
1409 Stanbridge Pl
Vienna, VA 22182-1753
Phone (703) 650-8108
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 |
|---|---|---|---|
| 019.033522 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1114506763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3218 KENILWORTH AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3218 KENILWORTH AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023003",
"telephone_number": "708-795-1255"
}
],
"practiceLocations": [
{
"address_1": "1409 Stanbridge Pl",
"address_purpose": "LOCATION",
"city": "Vienna",
"state": "VA",
"postal_code": "221821753",
"country_code": "US",
"telephone_number": "703-650-8108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIGDEL",
"first_name": "MUNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-02",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.033522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.