Organization Active NPI

Sumeet Bagai DDS PC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1205140472
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025044 Issued in IL
Legal business name
SUMEET BAGAI DDS PC
Practice address
6338 S Pulaski Rd
Chicago, IL 60629-4706
Phone
(773) 767-1554
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Dr. Sumeet Bagai, DDS
Title
President
Phone
(773) 767-1554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019025044 IL Primary

Addresses

Primary practice location

6338 S Pulaski Rd
Chicago, IL 60629-4706

Mailing address

6338 S Pulaski Rd
Chicago, IL 60629-4706
Phone (773) 767-1554

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1205140472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6338 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294706",
            "telephone_number": "773-767-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6338 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294706",
            "telephone_number": "773-767-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMEET BAGAI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "BAGAI",
        "authorized_official_first_name": "SUMEET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-767-1554",
        "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": "019025044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.