Active NPI
Raina Dental PC
- General Practice Dentistry
- Bolingbrook, IL
National Provider Identifier
1205131174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019027948
- Legal business name
- RAINA DENTAL PC
- Practice address
- 136 S Bolingbrook Dr
Bolingbrook, IL 60440-2852 - Phone
- (630) 739-5500
- NPI assigned
- Jan 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jasleen Raina, DDS
- Title
- Dentist
- Phone
- (913) 548-8964
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019027948 | IL | Primary |
Addresses
Primary practice location
136 S Bolingbrook Dr
Bolingbrook, IL 60440-2852
Mailing address
760 Village Center Dr
240
Burr Ridge, IL 60527-4537
Phone (913) 548-8964
National Provider Directory
National Provider DirectoryLocations
760 Village Center Dr
Ste 240
Burr Ridge, IL 60527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295827200000",
"number": "1205131174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 VILLAGE CENTER DR",
"address_2": "240",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605274537",
"telephone_number": "913-548-8964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 S BOLINGBROOK DR",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604402852",
"telephone_number": "630-739-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAINA DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-24",
"last_updated": "2011-01-24",
"status": "A",
"authorized_official_last_name": "RAINA",
"authorized_official_first_name": "JASLEEN",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "913-548-8964",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019027948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.