Prasad Gonavarum D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRASAD GONAVARUM D.D.S., P.C.

Practice address

3020 Reflection Dr
Suite : 112
Naperville, IL 60564-8243

Phone

(630) 718-1901

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Prasad Gonavarum

Title

President

Phone

(630) 718-1901

Specialties & licenses 1

Addresses

Other names 1

• Smiles of Naperville Doing business as

Locations

Practitioners 1

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

• Joy Ko, DDS

  • General Practice Dentistry
  • New York, NY
  • NPI 1790913044
  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1194999375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 REFLECTION DR",
            "address_2": "SUITE : 112",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648243",
            "telephone_number": "630-718-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 REFLECTION DR",
            "address_2": "SUITE : 112",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648243",
            "telephone_number": "630-718-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASAD GONAVARUM D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "GONAVARUM",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-718-1901"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles of Naperville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mini Pradeep
• Paola Prado
• Susan Pragaspathy, LPC
• Prairie Path Speech Therapy
• Prairie Path Speech Therapy, Inc
• Lisa Marie Prather, AU.D.
• David Mark Prator Jr., D.C.
• David Lee Pratt, D.P.T.
• Praveen V Parvathala MD LLC
• Precision ABA

• General Practice Dentistry in Naperville, IL
• Providers in Naperville, 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 Apr 17, 2008; 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.