Amrit Kaur Banipal

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019032840 Issued in IL

Practice address

20 Boulder Hill Pass
Montgomery, IL 60538-1951

Phone

(630) 896-5013

NPI assigned

Jul 27, 2020

Last updated

Mar 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Mark R Commean DMD LTD

  dba Boulder Hill Dental Associates

  • Dentist
  • Montgomery, IL
  • NPI 1417046905

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1366051237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 SEQUOIA DR",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333983",
            "telephone_number": "773-701-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BOULDER HILL PASS",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605381951",
            "telephone_number": "630-896-5013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 N Clark St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606544782",
            "country_code": "US",
            "telephone_number": "312-274-4526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANIPAL",
        "first_name": "AMRIT",
        "middle_name": "KAUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Kay Armstrong, MACCCSLP
• Linda Gioia Arrich, DDS
• Aurora Township Fire Protection District
• Somkoum Baccam, RPH
• Vanessa Baier
• Trina Bank
• Brenda Joi Barnwell, L.C.S.W.
• Charles K Barr Jr., L.C.S.W
• Basel Mission Healthcare Staffing LLC
• Better Comfort Home Health Care LLC (Nurse Next Door Naperville)

• General Practice Dentistry in Montgomery, IL
• Providers in Montgomery, 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 Mar 5, 2021; 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.