Sameera Jagirdar, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033613 Issued in IL

Practice address

413 W Saint Charles Rd
Villa Park, IL 60181-2432

Phone

(630) 629-3120

NPI assigned

Jul 15, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Alizan Dental LLC

  • Dental Clinic/Center
  • Villa Park, IL
  • NPI 1134969959
  NPD Authorized official

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1558095323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MARNE RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604904589",
            "telephone_number": "630-479-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W SAINT CHARLES RD",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812432",
            "telephone_number": "630-629-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGIRDAR",
        "first_name": "SAMEERA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Terese Hover, D.C.
• Rachel Ann Howe
• Ibt-Transportation
• Paige Jackowski
• Lena Jadrawi
• Hassan Jalil, D.D.S.
• James Teraji and Assoc SC
• Neel H Jani, PHARMD.
• Jill Janssen
• Jaspreet Dhingra-Bajaj, LTD

• General Practice Dentistry in Villa Park, IL
• Providers in Villa Park, 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 May 29, 2024; 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.