Active NPI
Distinctive Dental PC
- Durable Medical Equipment & Medical Supplies
- Bloomingdale, IL
National Provider Identifier
1669956256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DISTINCTIVE DENTAL PC
- Practice address
- 322 Erie Cir
Bloomingdale, IL 60108-8818 - Phone
- (630) 359-0105
- NPI assigned
- Sep 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Javed Bhojani, DDS
- Title
- Owner
- Phone
- (630) 359-0105
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
322 Erie Cir
Bloomingdale, IL 60108-8818
Mailing address
322 Erie Cir
Bloomingdale, IL 60108-8818
Phone (163) 041-7799
National Provider Directory
National Provider DirectoryLocations
626 N Addison Rd
Villa Park, IL 60181
Phone (630) 359-0105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650240000000",
"number": "1669956256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 ERIE CIR",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601088818",
"telephone_number": "163-041-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 ERIE CIR",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601088818",
"telephone_number": "630-359-0105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISTINCTIVE DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-19",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A",
"authorized_official_last_name": "BHOJANI",
"authorized_official_first_name": "JAVED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-359-0105",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.