Active NPI
Devaansh Bawa, DDS, MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Downers Grove, IL
National Provider Identifier
1598432791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 019.036165
- Practice address
- 6800 Main St
3Rd Floor
Downers Grove, IL 60516 - Phone
- (630) 969-5350
- NPI assigned
- Aug 25, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0401418696 | VA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 18125 | MD | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 019.036165 | IL | Primary |
Addresses
Primary practice location
6800 Main St
3Rd Floor
Downers Grove, IL 60516
Mailing address
13100 Lou Alice Way
Herndon, VA 20171-4206
Phone (571) 218-0083
Other practice location 1
5401B Langston Blvd
Arlington, VA 22207-1632
Phone (703) 536-7846
Other practice location 2
7671 Quarterfield Rd Ste 400
Glen Burnie, MD 21061-4981
Phone (410) 670-4525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.036165 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 18125 | MD | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 0401418696 | VA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myorthos Virginia Orthodontics, PC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Grove Dental Associates., P.C. | Past | Accepting new patients |
Locations
5401B Langston Blvd
Arlington, VA 22207
Phone (703) 536-7846
Organizations & group practices 2
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.
-
dba Iverson Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Arlington, VA
- NPI 1841929106
-
- Dentist
- Downers Grove, IL
- NPI 1841378015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1598432791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13100 LOU ALICE WAY",
"city": "HERNDON",
"state": "VA",
"postal_code": "201714206",
"telephone_number": "571-218-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 MAIN ST",
"address_2": "3RD FLOOR",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60516",
"telephone_number": "630-969-5350"
}
],
"practiceLocations": [
{
"address_1": "5401B Langston Blvd",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222071632",
"country_code": "US",
"telephone_number": "703-536-7846",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7671 Quarterfield Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Glen Burnie",
"state": "MD",
"postal_code": "210614981",
"country_code": "US",
"telephone_number": "410-670-4525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAWA",
"first_name": "DEVAANSH",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-25",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "VA",
"license": "0401418696",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MD",
"license": "18125",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "019.036165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.