Individual provider Active NPI

Sanjeet Raj Singh Parmar, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1245493386
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-027696 Issued in IL
Practice address
811 W Wellington Ave
Chicago, IL 60657-5123
Phone
(773) 871-6353
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-027696 IL Primary

Addresses

Primary practice location

811 W Wellington Ave
Chicago, IL 60657-5123

Mailing address

1029 S Humphrey Ave
Apt # 2S
Oak Park, IL 60304-2221
Phone (708) 383-4511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616001371 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6608187794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-027696ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjeet Raj Singh Parmar DDS LTD Current Accepting new patients
Sanjeet Raj Singh Parmar DDS LTD Current Accepting new patients

Locations

2632 W Division St
Chicago, IL 60622
Phone (773) 235-0980

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1245493386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 S HUMPHREY AVE",
            "address_2": "APT # 2S",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042221",
            "telephone_number": "708-383-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575123",
            "telephone_number": "773-871-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMAR",
        "first_name": "SANJEET",
        "middle_name": "RAJ SINGH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-027696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.