Organization Active NPI

Mahendra Tolia DDS

  • Dental Clinic/Center
  • Elgin, IL
National Provider Identifier
1588083059
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019017345 Issued in IL
Legal business name
MAHENDRA TOLIA DDS
Practice address
417 Dundee Ave
Elgin, IL 60120-3830
Phone
(847) 608-7910
NPI assigned
Apr 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Dr. Mahendra Tolia, DDS
Title
Dentist
Phone
(847) 608-7910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019017345 IL Primary

Addresses

Primary practice location

417 Dundee Ave
Elgin, IL 60120-3830

Mailing address

417 Dundee Ave
Elgin, IL 60120-3830
Phone (847) 608-7910

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1588083059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 DUNDEE AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203830",
            "telephone_number": "847-608-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 DUNDEE AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203830",
            "telephone_number": "847-608-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHENDRA TOLIA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "TOLIA",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-608-7910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019017345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.