NPIMap

Organization Active NPI

Total Health Dental PC

  • Dentist
  • Aurora, IL
National Provider Identifier
1588108153
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TOTAL HEALTH DENTAL PC
Practice address
2460 S Eola Rd
Aurora, IL 60503-6494
Phone
(630) 585-5600
NPI assigned
Dec 15, 2016
Last updated
Dec 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Authorized official

Name
Khaja MohsinuddinNPI 1093775132
Title
Owner
Phone
(630) 585-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2460 S Eola Rd
Aurora, IL 60503-6494

Mailing address

2460 S Eola Rd
Aurora, IL 60503-6494
Phone (630) 585-5600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1588108153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 S EOLA RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036494",
            "telephone_number": "630-585-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 S EOLA RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605036494",
            "telephone_number": "630-585-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "MOHSINUDDIN",
        "authorized_official_first_name": "KHAJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-585-5600"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.