NPIMap

Organization Active NPI

Lead Dental Group

  • Dentist
  • Lombard, IL
National Provider Identifier
1497136204
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
021002344 Issued in IL
Legal business name
LEAD DENTAL GROUP
Practice address
18W333 Roosevelt Rd Ste C
Lombard, IL 60148-4180
Phone
(630) 832-1500
NPI assigned
Jun 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Dr. Shilpa Mailapur, DMD, MSD
Title
Member
Phone
(630) 270-8327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 021002344 IL Primary

Addresses

Primary practice location

18W333 Roosevelt Rd Ste C
Lombard, IL 60148-4180

Mailing address

18W333 Roosevelt Road Suite C
Lombard, IL 60148
Phone (630) 832-1500

National Provider Directory

National Provider Directory

Locations

18W333 Roosevelt Rd
Ste C
Lombard, IL 60148
Phone (630) 832-1500

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1497136204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18W333 ROOSEVELT ROAD SUITE C",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "60148",
            "telephone_number": "630-832-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18W333 ROOSEVELT RD STE C",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484180",
            "telephone_number": "630-832-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "MAILAPUR",
        "authorized_official_first_name": "SHILPA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-270-8327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "021002344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.