Individual provider Active NPI

Megan Elizabeth Rascius, DMD

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1336729664
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13433 Issued in CT
Practice address
201 E Huron St RM 2-246
Chicago, IL 60611-3948
Phone
(312) 926-3264
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13433 CT Primary

Addresses

Primary practice location

201 E Huron St RM 2-246
Chicago, IL 60611-3948

Mailing address

251 E Huron St
Chicago, IL 60611-2908
Phone (312) 926-2000

Other practice location 1

652 Boston Post Rd
Guilford, CT 06437-2719
Phone (203) 453-2272

Other names 1

  • Megan Elizabeth Poor Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1336729664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908",
            "telephone_number": "312-926-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E HURON ST RM 2-246",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113948",
            "telephone_number": "312-926-3264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "652 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "CT",
            "postal_code": "064372719",
            "country_code": "US",
            "telephone_number": "203-453-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASCIUS",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "13433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "POOR",
            "middle_name": "ELIZABETH",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 6, 2022; 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.