Active NPI
Parul Jain, DDS
- Dentist
- Schaumburg, IL
National Provider Identifier
1689791840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019025608
- Practice address
- 636 S Roselle Rd
Schaumburg, IL 60193-3123 - Phone
- (847) 895-8444
- Fax
- (847) 895-8543
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- 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 | 019025608 | IL | Primary |
Addresses
Primary practice location
636 S Roselle Rd
Schaumburg, IL 60193-3123
Mailing address
636 S Roselle Rd
Schaumburg, IL 60193-3123
Phone (847) 895-8444
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 |
|---|---|---|---|
| 019025608 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearly Whites Dentistry | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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
- Schaumburg, IL
- NPI 1366991093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1689791840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 S ROSELLE RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601933123",
"telephone_number": "847-895-8444",
"fax_number": "847-895-8543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 S ROSELLE RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601933123",
"telephone_number": "847-895-8444",
"fax_number": "847-895-8543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "PARUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019025608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.