Shweta Dey

Primary specialty

DentistTaxonomy code 122300000X

License

019.035444 Issued in IL

Practice address

1401 N Veterans Pkwy
Bloomington, IL 61704-2296

Phone

(309) 319-9577

NPI assigned

Jul 3, 2024

Last updated

Aug 7, 2024By the provider in NPPES

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

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

Interoperability endpoints

• Direct secure messaging: shweta.dey.p11@direct.fhn-fqhc.nextgenshare.com

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.

• Promise Healthcare NFP

  dba Frances Nelson Health Center

  • Federally Qualified Health Center (FQHC)
  • Champaign, IL
  • NPI 1578821005
  Medicare reassignment NPD
• Promise Healthcare NFP

  • Federally Qualified Health Center (FQHC)
  • Champaign, IL
  • NPI 1629828439
  NPD
• Promise Healthcare NFP

  dba Promise Healthcare - Ready School

  • Federally Qualified Health Center (FQHC)
  • Champaign, IL
  • NPI 1801687728
  NPD

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1538905120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 RUDDER LN APT 112",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048780",
            "telephone_number": "323-961-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N VETERANS PKWY",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042296",
            "telephone_number": "309-319-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEY",
        "first_name": "SHWETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.035444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Deterding
• Angie Detwiler, CNM
• Elizabeth Ann Deutsch, OT
• Jodie Dewey, MD
• Dewitt Livingston Logan McLean Regional Office of Education #17
• Rubina Dhillon
• Diagnostic Neuro Technology, LLC
• Melinda Sue Dial, FNP
• Dialysis Centers of America - Illinois, Inc. (RCG Central Illinois-Bloomington)
• Dialysis Centers of America - Illinois, Inc. (RCG Central Illinois-Bloomington Capd)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.