Active NPI
Vishal Jagdish Advani, D.D.S.
- General Practice Dentistry
- Elk Grove Village, IL
National Provider Identifier
1366736381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.029196
- Practice address
- 70 Turner Ave
Suite #1
Elk Grove Village, IL 60007-3955 - Phone
- (847) 437-3250
- Fax
- (847) 437-3251
- NPI assigned
- Jun 7, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.029196 | IL | Primary |
Addresses
Primary practice location
70 Turner Ave
Suite #1
Elk Grove Village, IL 60007-3955
Mailing address
70 Turner Ave
Suite #1
Elk Grove Village, IL 60007-3955
Phone (847) 437-3250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.029196 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355356800000",
"number": "1366736381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 TURNER AVE",
"address_2": "SUITE #1",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073955",
"telephone_number": "847-437-3250",
"fax_number": "847-437-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 TURNER AVE",
"address_2": "SUITE #1",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073955",
"telephone_number": "847-437-3250",
"fax_number": "847-437-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADVANI",
"first_name": "VISHAL",
"middle_name": "JAGDISH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-07",
"last_updated": "2012-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.029196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove Village, IL
- Advanced Endocrionology LLC
- Advanced Pediatrics- Children'S Health Associates, S.C.
- Advanced Surgical Associates, S.C.
- Advanced Women S Healthcare Specialists, S.C.
- Advanced Womens Care Center SC
- Adventist Health Partners, Inc.
- Aes Milestone LTD
- Aesthetic Eye Associates S.C.
- Affiliated Home Dialysis LLC
- Affiliated Home Dialysis Partners LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.