Rajiv Puri PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19026692 Issued in IL

Legal business name

RAJIV PURI PC

Practice address

849 S Route 59
Bartlett, IL 60103

Phone

(630) 372-9800

NPI assigned

Apr 30, 2013

Organization subpart

Yes

Parent organization

RAJIV PURI PCAs reported in NPPES

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

Authorized official

Name

Dr. Rajiv Puri, DDSNPI 1750428009

Title

Dentist

Phone

(630) 616-1020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajiv Puri, DDS

  • Dentist
  • Wood Dale, IL
  • NPI 1750428009
  NPD (past) Authorized official
• Orusa Kalota, DMD

  • Dentist
  • Bartlett, IL
  • NPI 1750874426
  NPD (past)

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1356786743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 S ROUTE 59",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "60103",
            "telephone_number": "630-372-9800",
            "fax_number": "630-372-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 S ROUTE 59",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "60103",
            "telephone_number": "630-372-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJIV PURI PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAJIV PURI PC",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-616-1020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19026692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750428009",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radiant Home Health Care, Inc.
• Patricia Radley, MSW
• Khalil Rahman, PHARMD
• Jyotsna Raina
• Raj Patel MD SC
• Yolanda Ramirez
• Richa Ranpura
• Roshani Ramesh Raval, PHARMD
• Andrea Ravlin, MS, RDN
• Rehabcare

• General Practice Dentistry in Bartlett, IL
• Providers in Bartlett, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.