Individual provider Active NPI

Urvi Shukla Ganger, DDS

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1164950010
Registry record updated Dec 1, 2018
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 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 019031464 IL Primary

Addresses

Primary practice location

1858 W 35TH St
Chicago, IL 60609-1201

Mailing address

1858 W 35TH St
Chicago, IL 60609-1201
Phone (773) 247-5554

Other names 1

  • Urvi Vinay Shukla Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170711003426 IL Order and Referring Only - DentistPractitioner - Dentist 5991074627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019031464ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ganger Family Dentistry Current Accepting new patients

Locations

1858 W 35th St
Chicago, IL 60609
Phone (773) 247-5554

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": "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": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "URVI",
            "last_name": "SHUKLA",
            "middle_name": "VINAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.