Active NPI
Anisha Mohan Murarka, DDS
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1689955304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.028851
- Practice address
- 4600 S Pulaski Rd
Chicago, IL 60632-4038 - Phone
- (773) 376-1111
- NPI assigned
- Sep 8, 2011
- Last updated
- Jan 29, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27368 | TX | |
| General Practice Dentistry | 1223G0001X | 019.028851 | IL | Primary |
| General Practice Dentistry | 1223G0001X | 12012075A | IN |
Addresses
Primary practice location
4600 S Pulaski Rd
Chicago, IL 60632-4038
Mailing address
520 S State St Apt 1013
Chicago, IL 60605-1657
Phone (832) 265-6117
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 283698001 | Medicaid | TX | |
| 283968003 | Medicaid | TX | |
| 283968002 | Medicaid | TX |
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 |
|---|---|---|---|
| 019.028851 | IL | MD | General Practice Dentistry |
| 12012075A | IN | MD | General Practice Dentistry |
| 27368 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Chicago Dental Associates, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Chicago, IL
- NPI 1538335971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390953600000",
"number": "1689955304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S STATE ST APT 1013",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606051657",
"telephone_number": "832-265-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 S PULASKI RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606324038",
"telephone_number": "773-376-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURARKA",
"first_name": "ANISHA",
"middle_name": "MOHAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-08",
"last_updated": "2014-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27368",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.028851",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12012075A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283698001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283968003",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283968002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.