Active NPI
Amrita Kaur Rakalla, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Hinsdale, IL
National Provider Identifier
1134520620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 021002629
- Practice address
- 1 Grant SQ Ste 101
Hinsdale, IL 60521-3383 - Phone
- (630) 323-1201
- NPI assigned
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019-029080 | IL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 021002629 | IL | Primary |
Addresses
Primary practice location
1 Grant SQ Ste 101
Hinsdale, IL 60521-3383
Mailing address
1 Grant SQ Ste 101
Hinsdale, IL 60521-3383
Phone (630) 323-1201
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-029080 | IL | MD | Dentist |
| 021002629 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632614400000",
"number": "1134520620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GRANT SQ STE 101",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213383",
"telephone_number": "630-323-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GRANT SQ STE 101",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213383",
"telephone_number": "630-323-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAKALLA",
"first_name": "AMRITA",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-15",
"last_updated": "2021-09-26",
"certification_date": "2021-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-029080",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "021002629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.