Rahul Rajagopalan, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100254 Issued in WI

Practice address

6855 S 27TH St
Franklin, WI 53132-8045

Phone

(414) 435-0787

NPI assigned

Apr 6, 2021

Last updated

Jun 2, 2023By 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 3

Addresses

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)

Enrolled

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.

• Dental Associates LTD of Wisconsin

  • Endodontics
  • Wauwatosa, WI
  • NPI 1518266998

  General Practice

  NPD
• D2 Dental of Lansing, P.C.

  • General Practice Dentistry
  • Oak Park, IL
  • NPI 1891259768
  NPD (past)
• Pro Dental Il - Chad Wise PC

  dba Destiny Dental of Oak Park

  • Dentist
  • Oak Park, IL
  • NPI 1710714233
  NPD (past)
• Stat Anesthesia Specialists, LTD.

  • Anesthesiology Physician
  • Bremen, IN
  • NPI 1992754089
  NPD (past)

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1518546472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W POLK ST UNIT 611",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 S 27TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328045",
            "telephone_number": "414-435-0787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3332 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606186213",
            "country_code": "US",
            "telephone_number": "773-327-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Landover Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Hawthorn Woods",
            "state": "IL",
            "postal_code": "600477513",
            "country_code": "US",
            "telephone_number": "847-550-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022432",
            "country_code": "US",
            "telephone_number": "708-948-7744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 W Polk St Unit 611",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123723",
            "country_code": "US",
            "telephone_number": "312-864-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 W Wellington Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575123",
            "country_code": "US",
            "telephone_number": "773-245-5253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJAGOPALAN",
        "first_name": "RAHUL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2023-06-02",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033095",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "100254",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacee Proctor
• David G Purcell, DPT
• Purity Wellness Clinic LLC
• Kaitlyn Quinn
• Ali Radmanesh, DDS
• Rajit Saluja M D Inc
• Megan M Rampa, PT PHYSICAL THERAPY
• Russell Rayeske
• Sara Ashley Raymond, RN
• Alyssa Redman, CNM, APNP, WHNP-BC

• General Practice Dentistry in Franklin, WI
• Providers in Franklin, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.