Ravi R Ghayal, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019035347 Issued in IL

Practice address

1475 Glen Lake Rd Ste 1
Hoffman Estates, IL 60169-4000

Phone

(847) 882-2620

NPI assigned

Jul 27, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1669201802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BUCKSKIN LN",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601073319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 GLEN LAKE RD STE 1",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601694000",
            "telephone_number": "847-882-2620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Buckskin Ln",
            "address_purpose": "LOCATION",
            "city": "Streamwood",
            "state": "IL",
            "postal_code": "601073319",
            "country_code": "US",
            "telephone_number": "630-457-7691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAYAL",
        "first_name": "RAVI",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019035347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regeni George-Brown, M.D.
• Mary K George, M.D.
• Gail S Gerber, M.D.
• Michi Gerdts
• Germbusters
• Akil M. Ghoghawala, PHARMD
• Karen M Giese, R.D.
• Poonam J Gill, M.D
• Linda M. Gilles-Zirbes, OTR
• Kumudini Ginde, MD

• General Practice Dentistry in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; 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.