Individual provider Active NPI

Sai Ramani Krishna Kumar

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1255707170
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.030489 Issued in IL
Practice address
2254 S Cicero Ave
Dental Dreams
Chicago, IL 60804-2411
Phone
(708) 656-2222
NPI assigned
Aug 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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 019.030489 IL Primary

Addresses

Primary practice location

2254 S Cicero Ave
Dental Dreams
Chicago, IL 60804-2411

Mailing address

350 N Clark St FL 6
Dental Dreams LLC C/O Danielle Tharp
Chicago, IL 60654-4712
Phone (312) 274-4524

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
I20171108002448 IL Order and Referring Only - DentistPractitioner - Dentist 4587920434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.030489ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Dreams LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: skrishnakumar71301@uihealth.direct-ci.com

Organizations & group practices 1

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": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1255707170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N CLARK ST FL 6",
            "address_2": "DENTAL DREAMS LLC C/O DANIELLE THARP",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544712",
            "telephone_number": "312-274-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 S CICERO AVE",
            "address_2": "DENTAL DREAMS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "608042411",
            "telephone_number": "708-656-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNA KUMAR",
        "first_name": "SAI RAMANI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.030489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.