Organization Active NPI

Rohanish Enterprises Inc

  • Periodontics
  • Bloomingdale, IL
National Provider Identifier
1679629331
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
019023850 Issued in IL
Legal business name
ROHANISH ENTERPRISES INC
Practice address
290 Springfield Drive
Suite 140
Bloomingdale, IL 60108
Phone
(630) 582-3120
Fax
(630) 582-3137
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Juzer Chinwalla, DDS
Title
Owner
Phone
(630) 582-3120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 019023850 IL Primary

Addresses

Primary practice location

290 Springfield Drive
Suite 140
Bloomingdale, IL 60108

Mailing address

290 Springfield Drive
Suite 140
Bloomingdale, IL 60108
Phone (630) 582-3120

Other names 1

  • Stratford Square Periodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rohanish Enterprises Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

290 Springfield Dr
Ste 140
Bloomingdale, IL 60108
Phone (630) 561-5849

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1679629331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 SPRINGFIELD DRIVE",
            "address_2": "SUITE 140",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-582-3120",
            "fax_number": "630-582-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 SPRINGFIELD DRIVE",
            "address_2": "SUITE 140",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-582-3120",
            "fax_number": "630-582-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROHANISH ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "CHINWALLA",
        "authorized_official_first_name": "JUZER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-582-3120",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "019023850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stratford Square Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 28, 2009; 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.