Organization Active NPI

Harjinder Khaira D.M.D. & Associates PC

  • General Practice Dentistry
  • Roselle, IL
National Provider Identifier
1295993764
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019024692 Issued in IL
Legal business name
HARJINDER KHAIRA D.M.D. & ASSOCIATES PC
Practice address
490 W Lake St
Suite 107
Roselle, IL 60172-3583
Phone
(630) 894-8008
Fax
(630) 894-0908
NPI assigned
May 30, 2008
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Harjinder S Khaira, D.M.D.NPI 1790849222
Title
Owner/President
Phone
(630) 894-8008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019024692 IL Primary

Addresses

Primary practice location

490 W Lake St
Suite 107
Roselle, IL 60172-3583

Mailing address

490 W Lake St
Suite 107
Roselle, IL 60172-3583
Phone (630) 894-8008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1295993764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 W LAKE ST",
            "address_2": "SUITE 107",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723583",
            "telephone_number": "630-894-8008",
            "fax_number": "630-894-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 W LAKE ST",
            "address_2": "SUITE 107",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723583",
            "telephone_number": "630-894-8008",
            "fax_number": "630-894-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARJINDER KHAIRA D.M.D. & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "KHAIRA",
        "authorized_official_first_name": "HARJINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "630-894-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.