Individual provider Active NPI

Karan Ramesh Bhagchandani, D.D.S

  • Dentist
  • Aurora, IL
National Provider Identifier
1255770319
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
319.018568 Issued in IL
Practice address
57 E Downer PL
Aurora, IL 60505-3340
Phone
(630) 287-0577
NPI assigned
Jun 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 319.018568 IL Primary

Addresses

Primary practice location

57 E Downer PL
Aurora, IL 60505-3340

Mailing address

57 E Downer Place
Aurora, IL 60505
Phone (630) 287-0577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
319.018568ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Dentrix Downtown Current Accepting new patients

Locations

57 E Downer Pl
Aurora, IL 60505
Phone (630) 287-0577

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1255770319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 E DOWNER PLACE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60505",
            "telephone_number": "630-287-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 E DOWNER PL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605053340",
            "telephone_number": "630-287-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAGCHANDANI",
        "first_name": "KARAN",
        "middle_name": "RAMESH",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "319.018568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.