Deepak Agarwal, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-025771 Issued in IL

Practice address

1163 E Ogden Ave Ste 403
Naperville, IL 60563-8532

Phone

(630) 416-0780

Fax

(630) 416-6938

NPI assigned

Oct 13, 2005

Last updated

Dec 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Patwal, PC

  dba Todays Dental of Beverly

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1215597141
  NPD Authorized official
• House Os Smiles, PC

  dba Iroquois Dental Center

  • General Practice Dentistry
  • Naperville, IL
  • NPI 1508037698
  NPD (past) Authorized official

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1487642302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 E OGDEN AVE STE 403",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638532",
            "telephone_number": "630-416-0780",
            "fax_number": "630-416-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 E OGDEN AVE STE 403",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638532",
            "telephone_number": "630-416-0780",
            "fax_number": "630-416-6938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 S Rte 59",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605864622",
            "country_code": "US",
            "telephone_number": "815-609-1110",
            "fax_number": "815-609-0575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11238 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606434116",
            "country_code": "US",
            "telephone_number": "708-388-0001",
            "fax_number": "708-388-7612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGARWAL",
        "first_name": "DEEPAK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-025771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201725665-60563-01",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• After Care Home Health Inc.
• Nitika Agarwal, PHARM.D
• Rahul K. Agarwal, M.D.
• Agility Physical Therapy, Inc.
• Joseph R Agostinelli, PT
• Diksha Agrawal

• General Practice Dentistry in Naperville, IL
• Providers in Naperville, 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 Dec 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.