NPIMap

Organization Active NPI

Dupagedietitians

  • Registered Dietitian
  • Lisle, IL
National Provider Identifier
1134467905
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164004325 Issued in IL
Legal business name
DUPAGEDIETITIANS
Practice address
3080 Ogden Ave
104
Lisle, IL 60532-1691
Phone
(630) 839-9296
Fax
(630) 364-1873
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Mrs. Deepa Deshmukh, RD
Title
Owner
Phone
(630) 839-9296

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X 164004325 IL Primary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X 164002387 IL

Addresses

Primary practice location

3080 Ogden Ave
104
Lisle, IL 60532-1691

Mailing address

3080 Ogden Ave
104
Lisle, IL 60532-1691
Phone (630) 839-9296

National Provider Directory

National Provider Directory
Tax ID family
Dupage Dietitians2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1134467905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 OGDEN AVE",
            "address_2": "104",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321691",
            "telephone_number": "630-839-9296",
            "fax_number": "630-364-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 OGDEN AVE",
            "address_2": "104",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321691",
            "telephone_number": "630-839-9296",
            "fax_number": "630-364-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGEDIETITIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "DESHMUKH",
        "authorized_official_first_name": "DEEPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-839-9296",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164004325",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164002387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.