Daksha N. Mehta M.D.S.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

036064973 Issued in IL

Legal business name

DAKSHA N. MEHTA M.D.S.C.

Practice address

901 Center St Ste 2002
Elgin, IL 60120-2104

Phone

(847) 695-5520

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Daksha N. Mehta

Title

M.D.

Phone

(847) 695-5520

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1205009487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1247",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601211247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CENTER ST STE 2002",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601202104",
            "telephone_number": "847-695-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKSHA N. MEHTA M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "DAKSHA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "847-695-5520"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036064973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064973",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D.C. Dental, LTD
• Emma D'Antoni
• Razan Dafalla, MD
• Jackie A Daily-Caul, RD
• Obaida Dairi, DO
• Daksha N.Mehta M.D.S.C.
• Thomas James Daly Jr., RN
• Priya Damaraju, M.D.
• Ravi K Damaraju, M.D.
• Anna Therese Dammann

• Medical Specialty Clinic/Center in Elgin, IL
• Providers in Elgin, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.