Urvi Shukla Ganger, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019031464 Issued in IL

Practice address

1858 W 35TH St
Chicago, IL 60609-1201

Phone

(773) 247-5554

Fax

(773) 247-8272

NPI assigned

May 23, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Urvi Vinay Shukla Former name

Medicare fee-for-service enrollment

Enrolled in IL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ganger Family Dentistry

  • Dentist
  • Chicago, IL
  • NPI 1962986950
  NPD Authorized official

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543622400000",
    "number": "1164950010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1858 W 35TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091201",
            "telephone_number": "773-247-5554",
            "fax_number": "773-247-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 W 35TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091201",
            "telephone_number": "773-247-5554",
            "fax_number": "773-247-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGER",
        "first_name": "URVI",
        "middle_name": "SHUKLA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2018-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019031464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "019031464",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "URVI",
            "last_name": "SHUKLA",
            "middle_name": "VINAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mahathi Gangavarapu, MD
• Sahithi Gangavarapu
• Antonio Gangemi, MD
• Ganger Family Dentistry
• Daniel R Ganger, MD
• Noopur Gangopadhyay, M.D.
• Ananya Gargi Gangopadhyaya, M.D.
• Sangrag Ganguli
• Madhusudan Ganigara, M.D.
• Allen Y Ganjei, MD

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.