Meda Dental II LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MEDA DENTAL II LLC

Practice address

2735 Hassert Blvd Ste 159
Naperville, IL 60564-5205

Phone

(630) 352-4141

Fax

(630) 352-4430

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Sathya Meda Naga, DDS

Title

Owner

Phone

(630) 329-2525

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sathya Priya Meda Naga, DDS

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1184821936
  NPD

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1215548771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 HASSERT BLVD STE 159",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645205",
            "telephone_number": "630-352-4141",
            "fax_number": "630-352-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 HASSERT BLVD STE 159",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645205",
            "telephone_number": "630-352-4141",
            "fax_number": "630-352-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDA DENTAL II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "MEDA NAGA",
        "authorized_official_first_name": "SATHYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-329-2525",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Naperville, IL
• Providers in Naperville, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.