Rima Modi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.032782 Issued in IL

Practice address

702 S Weber Rd Unit 1509
Romeoville, IL 60446-3058

Phone

(512) 514-3671

NPI assigned

Jul 8, 2020

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• H&R Square PLLC

  • Dental Clinic/Center
  • Algonquin, IL
  • NPI 1992544258
  NPD Authorized official

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1396363156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604901508",
            "telephone_number": "331-757-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S WEBER RD UNIT 1509",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604463058",
            "telephone_number": "512-514-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "RIMA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virgil Henry Miller III, D.C.,LAC
• Debbie Ann Miranda, BCBA
• Nicolette Rose Mireles, LCPC
• Jayme Mitchell, PA-C
• Wimol Ann Mitrakul, MD
• Gabriella Moran
• Katherine Moudry, DPT
• Andy K Moy, DT
• Daniel Moynihan, D.C.
• Frederick W Mueller, DDS

• Dentist in Romeoville, IL
• Providers in Romeoville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.