Active NPI
Sumita Bhargava
- Dentist
- Mt Prospect, IL
National Provider Identifier
1366629784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.027541
- Practice address
- 1753 W Algonquin Rd
Mt Prospect, IL 60056-5401 - Phone
- (847) 952-1905
- NPI assigned
- Jan 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.027541 | IL | Primary |
Addresses
Primary practice location
1753 W Algonquin Rd
Mt Prospect, IL 60056-5401
Mailing address
1146 Lockwood CT W
Buffalo Grove, IL 60089-1176
Phone (847) 478-0576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 31, 2016 through Mar 31, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.027541 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maks Dental Partners PLLC | Past | Accepting new patients | |
| LV Dentistry, PC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Mount Prospect, IL
- NPI 1700132230
-
- General Practice Dentistry
- Mount Prospect, IL
- NPI 1063134716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326758400000",
"number": "1366629784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1146 LOCKWOOD CT W",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891176",
"telephone_number": "847-478-0576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1753 W ALGONQUIN RD",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600565401",
"telephone_number": "847-952-1905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHARGAVA",
"first_name": "SUMITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-28",
"last_updated": "2012-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.027541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.