Himanshi C Thakkar, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

Practice address

121 S State St
Belvidere, IL 61008-3628

Phone

(815) 544-2626

Fax

(815) 544-3246

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• White Smile, Inc

  dba belvidere dental designs

  • Preferred Provider Organization
  • Belvidere, IL
  • NPI 1760779532
  NPD (past) Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356461255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 TRENT LN",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611118939",
            "telephone_number": "815-219-0767",
            "fax_number": "815-544-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S STATE ST",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610083628",
            "telephone_number": "815-544-2626",
            "fax_number": "815-544-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "HIMANSHI",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Sweeney, PT
• Symphony Maple Crest LLC (Maple Crest Care Centre)
• Symphony Northwoods LLC (Northwoods Care Centre)
• Linda Marie Tackes
• Bailey Tammen, DPT
• Cindy E Thurow, PPA
• Kaleena C Tolsma, SLP
• Twinkle Toes, Inc
• Ultrasound of Belvidere LLC
• Vital Family Healthcare LLC. (Clinic of Belvidere)

• Dentist in Belvidere, IL
• Providers in Belvidere, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.