Individual provider Active NPI

Harshala Chavan

  • General Practice Dentistry
  • Evanston, IL
National Provider Identifier
1568092021
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.032462 Issued in IL
Practice address
500 Davis St Ste 106
Evanston, IL 60201-4600
Phone
(310) 418-6806
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.032462 IL Primary

Addresses

Primary practice location

500 Davis St Ste 106
Evanston, IL 60201-4600

Mailing address

401 E Ontario St Apt 2302
Chicago, IL 60611-7179
Phone (310) 418-6806

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200219000204 IL Order and Referring Only - DentistPractitioner - Dentist 1658708375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.032462ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
B&H Dentistry PLLC General Practice CurrentSince Nov 24, 2025 Accepting new patients

Locations

500 Davis St
Ste 106
Evanston, IL 60201
Phone (310) 418-6806

Organizations & group practices 1

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1568092021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E ONTARIO ST APT 2302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606117179",
            "telephone_number": "310-418-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DAVIS ST STE 106",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014600",
            "telephone_number": "310-418-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVAN",
        "first_name": "HARSHALA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.