Organization Active NPI

Vpdental LLC

  • Dental Clinic/Center
  • West Chicago, IL
National Provider Identifier
1346355856
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019026362 Issued in IL
Legal business name
VPDENTAL LLC
Practice address
956 N Neltnor Blvd
Suite 316
West Chicago, IL 60185-5982
Phone
(630) 293-7777
Fax
(630) 293-7773
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Ajitha Paruchuri, DMDNPI 1912995333
Title
Dentist
Phone
(630) 293-7777

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
Dental Clinic/Center 261QD0000X 019026362 IL Primary

Addresses

Primary practice location

956 N Neltnor Blvd
Suite 316
West Chicago, IL 60185-5982

Mailing address

956 N Neltnor Blvd
Suite 316
West Chicago, IL 60185-5982
Phone (630) 293-7777

Other names 1

  • towerstationdental Doing business as

National Provider Directory

National Provider Directory

Locations

956 N Neltnor Blvd
Ste 316
West Chicago, IL 60185
Phone (630) 293-7777

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1346355856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 N NELTNOR BLVD",
            "address_2": "SUITE 316",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601855982",
            "telephone_number": "630-293-7777",
            "fax_number": "630-293-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 N NELTNOR BLVD",
            "address_2": "SUITE 316",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601855982",
            "telephone_number": "630-293-7777",
            "fax_number": "630-293-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VPDENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "PARUCHURI",
        "authorized_official_first_name": "AJITHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-293-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019026362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "towerstationdental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.