Praneeta Thakur, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019032194 Issued in IL

Practice address

4501 S State St
Chicago, IL 60609-3758

Phone

(773) 548-0600

NPI assigned

Jul 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Care Center LTD

  • Dentist
  • Villa Park, IL
  • NPI 1952560674
  NPD (past)
• Kedzie 47 Dental LLC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1144839424
  NPD (past)

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1275186173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612514",
            "telephone_number": "636-439-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606093758",
            "telephone_number": "773-548-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 W Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Villa Park",
            "state": "IL",
            "postal_code": "601813504",
            "country_code": "US",
            "telephone_number": "630-953-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "PRANEETA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jagdish Vrajlal Thakrar, M.D.
• Nalini H Thakrar, MD
• Anuj Thakre, MD
• Mannat Thakur, DO
• Naresh Thakur, M.D.
• Shana Thal
• Nicole Thalheimer, PSYD
• Renielle Thalheimer, PHARMD
• Osama Thalji, M.D.
• Francis Loke Moy Tham, D.D.S.

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.