NPIMap

Organization Active NPI

Khanna Dentistry P.C.

  • Dentist
  • Geneva, IL
National Provider Identifier
1174804868
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019023579 Issued in IL
Legal business name
KHANNA DENTISTRY P.C.
Practice address
425 Hamilton St
Geneva, IL 60134-2136
Phone
(630) 845-1088
NPI assigned
Sep 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Dr. Neeraj Khanna, D.D.S.NPI 1487668364
Title
Owner
Phone
(630) 845-1088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019023579 IL Primary

Addresses

Primary practice location

425 Hamilton St
Geneva, IL 60134-2136

Mailing address

425 Hamilton St
Geneva, IL 60134-2136
Phone (630) 845-1088

National Provider Directory

National Provider Directory

Locations

425 Hamilton St
Geneva, IL 60134
Phone (630) 845-1088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1174804868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAMILTON ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342136",
            "telephone_number": "630-845-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAMILTON ST",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342136",
            "telephone_number": "630-845-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHANNA DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "NEERAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-845-1088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019023579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.