Organization Active NPI

Raina Dental PC

  • General Practice Dentistry
  • Bolingbrook, IL
National Provider Identifier
1205131174
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019027948 Issued in IL
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

Updated by the provider on Jan 24, 2011

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.