Organization Active NPI

RNJ Dental PC

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1306322920
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019030738 Issued in IL
Legal business name
RNJ DENTAL PC
Doing business as
DIEHL FAMILY DENTAL
Practice address
1620 Pebblewood LN
Naperville, IL 60563-9075
Phone
(331) 457-2259
NPI assigned
Jul 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
Dr. Ramya R Joshua, DMDNPI 1417307430
Title
President/Owner
Phone
(331) 457-2259

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019030738 IL Primary

Addresses

Primary practice location

1620 Pebblewood LN
Naperville, IL 60563-9075

Mailing address

963 Campbell Dr
Naperville, IL 60563-1985
Phone (331) 457-2259

Other identifiers 1

IdentifierTypeStateIssuer
1417307430MedicaidIL

Other names 1

  • DIEHL FAMILY DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

1620 Pebblewood Ln
Naperville, IL 60563
Phone (331) 457-2259

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1306322920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 CAMPBELL DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631985",
            "telephone_number": "331-457-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 PEBBLEWOOD LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639075",
            "telephone_number": "331-457-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RNJ DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "JOSHUA",
        "authorized_official_first_name": "RAMYA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "331-457-2259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417307430",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIEHL FAMILY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.