Active NPI
Pritam S Dang, DDS
- Dentist
- Elgin, IL
National Provider Identifier
1679735369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019023793
- Practice address
- 840 Summit St Ste K
Elgin, IL 60120-4300 - Phone
- (847) 289-9900
- Fax
- (847) 289-0798
- NPI assigned
- Jun 25, 2008
- Sex
- Male
- 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 | 019023793 | IL | Primary |
Addresses
Primary practice location
840 Summit St Ste K
Elgin, IL 60120-4300
Mailing address
840 Summit St Ste K
Elgin, IL 60120-4300
Phone (847) 289-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019023793 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D.C. Dental, LTD | Dentist | Past | Accepting new patients |
| Summit Dental Care LTD | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Elgin, IL
- NPI 1891854816
-
- Dentist
- Elgin, IL
- NPI 1225221898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1679735369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 SUMMIT ST STE K",
"city": "ELGIN",
"state": "IL",
"postal_code": "601204300",
"telephone_number": "847-289-9900",
"fax_number": "847-289-0798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 SUMMIT ST STE K",
"city": "ELGIN",
"state": "IL",
"postal_code": "601204300",
"telephone_number": "847-289-9900",
"fax_number": "847-289-0798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "PRITAM",
"middle_name": "S",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-25",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019023793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.