Active NPI
Arjun Gohil, DDS
- Endodontics
- Chicago, IL
National Provider Identifier
1316502180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 021.003205
- Practice address
- 3753 N Clark St
Chicago, IL 60613-3809 - Phone
- (312) 818-1918
- NPI assigned
- May 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 021.003205 | IL | Primary |
Addresses
Primary practice location
3753 N Clark St
Chicago, IL 60613-3809
Mailing address
2963 Waters Edge Cir
Aurora, IL 60504-3280
Phone (260) 348-0526
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
| License | State | Type | Specialty |
|---|---|---|---|
| 021.003205 | IL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1316502180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2963 WATERS EDGE CIR",
"city": "AURORA",
"state": "IL",
"postal_code": "605043280",
"telephone_number": "260-348-0526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3753 N CLARK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133809",
"telephone_number": "312-818-1918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOHIL",
"first_name": "ARJUN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-07",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IL",
"license": "021.003205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.