Organization Active NPI

Distinctive Dental PC

  • Durable Medical Equipment & Medical Supplies
  • Bloomingdale, IL
National Provider Identifier
1669956256
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Apr 18, 2022

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.