Individual provider Active NPI

Devaansh Bawa, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Downers Grove, IL
National Provider Identifier
1598432791
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
019.036165 Issued in IL
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

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
019.036165ILMDOrthodontics and Dentofacial Orthopedic Dentist
18125MDMDOrthodontics and Dentofacial Orthopedic Dentist
0401418696VAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Myorthos Virginia Orthodontics, PC Orthodontics and Dentofacial Orthopedics CurrentSince Dec 1, 2023 Accepting new patients
Grove Dental Associates., P.C. PastSince Jun 29, 2025 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.

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.

Verify at the official NPI Registry.