Individual provider Active NPI

Nisha Chauhan, DDS

  • Dentist
  • Chicago, IL
National Provider Identifier
1497272751
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019031381 Issued in IL
Practice address
6560 W Fullerton Ave Ste T
Chicago, IL 60707-3435
Phone
(773) 385-6700
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019031381 IL Primary

Addresses

Primary practice location

6560 W Fullerton Ave Ste T
Chicago, IL 60707-3435

Mailing address

9052 Witham LN
Woodridge, IL 60517-7620
Phone (630) 324-6304

Other practice location 1

4039 W North Ave
Chicago, IL 60639-5219
Phone (773) 782-4800

Other practice location 2

3057 W Cermak Rd
Chicago, IL 60623-3548
Phone (773) 257-0200

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

LicenseStateTypeSpecialty
019031381ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
NC Teledentistry Current Accepting new patients
Dental Experts, LLC Past Accepting new patients
Dental Experts, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497272751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9052 WITHAM LN",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605177620",
            "telephone_number": "630-324-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 W FULLERTON AVE STE T",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073435",
            "telephone_number": "773-385-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4039 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606395219",
            "country_code": "US",
            "telephone_number": "773-782-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3057 W Cermak Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606233548",
            "country_code": "US",
            "telephone_number": "773-257-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUHAN",
        "first_name": "NISHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.