NPIMap

Organization Active NPI

Manjote K Dhaliwal DDS PC

  • Dental Clinic/Center
  • Grayslake, IL
National Provider Identifier
1730486325
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019.027589 Issued in IL
Legal business name
MANJOTE K DHALIWAL DDS PC
Practice address
160 Commerce Dr Ste 100
Grayslake, IL 60030-1603
Phone
(847) 223-1400
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Manjote Dhaliwal
Title
Pediatric Dentist
Phone
(917) 664-5120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019.027589 IL Primary

Addresses

Primary practice location

160 Commerce Dr Ste 100
Grayslake, IL 60030-1603

Mailing address

160 Commerce Dr Ste 100
Grayslake, IL 60030-1603

National Provider Directory

National Provider Directory

Locations

160 Commerce Dr
Ste 100
Grayslake, IL 60030
Phone (847) 223-1400

Practitioners & affiliated clinicians

Practitioners 3

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": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1730486325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 COMMERCE DR STE 100",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 COMMERCE DR STE 100",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301603",
            "telephone_number": "847-223-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANJOTE K DHALIWAL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "MANJOTE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "917-664-5120"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019.027589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.