NPIMap

Organization Active NPI

True Dentistry

  • Dentist
  • Burbank, IL
National Provider Identifier
1710358692
Registry record updated Oct 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019029975 Issued in IL
Legal business name
TRUE DENTISTRY
Practice address
5307 W 79TH St
Burbank, IL 60459-1403
Phone
(708) 424-5650
NPI assigned
Oct 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2015

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

Authorized official

Name
Dr. Abhishek Nagaraj, DDS
Title
Dentist
Phone
(312) 384-9493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019029975 IL Primary

Addresses

Primary practice location

5307 W 79TH St
Burbank, IL 60459-1403

Mailing address

5307 W 79TH St
Burbank, IL 60459-1403
Phone (708) 424-5650

National Provider Directory

National Provider Directory

Locations

5307 W 79th St
Burbank, IL 60459
Phone (630) 914-0446

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445040000000",
    "number": "1710358692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591403",
            "telephone_number": "708-424-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591403",
            "telephone_number": "708-424-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-17",
        "last_updated": "2015-10-17",
        "status": "A",
        "authorized_official_last_name": "NAGARAJ",
        "authorized_official_first_name": "ABHISHEK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "312-384-9493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2015; 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.