Active NPI
Haritha Nallaparaju, DMD
- General Practice Dentistry
- Effingham, IL
National Provider Identifier
1386296606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.032280
- Practice address
- 900 W Temple Ave Ste 208
Effingham, IL 62401-2187 - Phone
- (217) 342-0211
- Fax
- (217) 342-0232
- NPI assigned
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 019.032280 | IL | Primary |
Addresses
Primary practice location
900 W Temple Ave Ste 208
Effingham, IL 62401-2187
Mailing address
900 W Temple Ave Ste 208
Effingham, IL 62401-2187
Phone (217) 342-0211
Other practice location 1
6215 E State St
Rockford, IL 61108-2514
Phone (815) 399-7777
Other practice location 2
1905 W Springfield Ave
Champaign, IL 61821-3007
Phone (862) 231-5859 ext. 86223
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 |
|---|---|---|---|
| 019.032280 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Experts, LLC | General Practice | Past | Accepting new patients |
Interoperability endpoints
- haritha.nallaparaju.1@9559.direct.athenahealth.com
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Rockford, IL
- NPI 1437320421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1386296606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 W TEMPLE AVE STE 208",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012187",
"telephone_number": "217-342-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W TEMPLE AVE STE 208",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012187",
"telephone_number": "217-342-0211",
"fax_number": "217-342-0232"
}
],
"practiceLocations": [
{
"address_1": "6215 E State St",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611082514",
"country_code": "US",
"telephone_number": "815-399-7777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1905 W Springfield Ave",
"address_purpose": "LOCATION",
"city": "Champaign",
"state": "IL",
"postal_code": "618213007",
"country_code": "US",
"telephone_number": "862-231-5859 x86223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NALLAPARAJU",
"first_name": "HARITHA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2020-12-01",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.032280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.