Active NPI
Aqil Valika
- General Practice Dentistry
- Rockford, IL
National Provider Identifier
1194354829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.032702
- Practice address
- 6215 E State St
Rockford, IL 61108-2514 - Phone
- (815) 399-7777
- NPI assigned
- Apr 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.032702 | IL | Primary |
Addresses
Primary practice location
6215 E State St
Rockford, IL 61108-2514
Mailing address
34 River Ridge Dr
Sleepy Hollow, IL 60118-3119
Phone (224) 402-4382
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.032702 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aura Dental LLC | Current | Accepting new patients | |
| Bliss Dental LLC | General Practice | Current | Accepting new patients |
| Dental Experts, LLC | General Practice | Past | Accepting new patients |
Locations
1400 Lincoln Hwy
Ste B
St Charles, IL 60174
Phone (630) 549-7916
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Waukesha, WI
- NPI 1407732670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1194354829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 RIVER RIDGE DR",
"city": "SLEEPY HOLLOW",
"state": "IL",
"postal_code": "601183119",
"telephone_number": "224-402-4382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6215 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082514",
"telephone_number": "815-399-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALIKA",
"first_name": "AQIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-04",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.032702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.