Active NPI
Pooja Ahuja
- Dentist
- Reading, PA
National Provider Identifier
1629455324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D5040529
- Practice address
- 3302 North 5TH Street Hwy
Dental Dreams LLC
Reading, PA 19605 - Phone
- (610) 929-4040
- NPI assigned
- May 1, 2015
- Last updated
- Jul 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D5040529 | PA | Primary |
Addresses
Primary practice location
3302 North 5TH Street Hwy
Dental Dreams LLC
Reading, PA 19605
Mailing address
350 N. Clark Street, 6TH Floor
Dental Dreams LLC
Chicago, IL 60654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160519000482 | PA | Order and Referring Only - Other (Physician) | 9032408794 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D5040529 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436140800000",
"number": "1629455324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N. CLARK STREET, 6TH FLOOR",
"address_2": "DENTAL DREAMS LLC",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 NORTH 5TH STREET HWY",
"address_2": "DENTAL DREAMS LLC",
"city": "READING",
"state": "PA",
"postal_code": "19605",
"telephone_number": "610-929-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHUJA",
"first_name": "POOJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-01",
"last_updated": "2015-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "D5040529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.