Organization Active NPI

Carillon Dental Limited

  • General Practice Dentistry
  • Romeoville, IL
National Provider Identifier
1740490259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CARILLON DENTAL LIMITED
Practice address
410 N Weber Rd
Romeoville, IL 60446-4945
Phone
(815) 372-1160
Fax
(815) 372-1162
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Inthumathy Sivananthan
Title
DDS
Phone
(815) 372-1160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

410 N Weber Rd
Romeoville, IL 60446-4945

Mailing address

410 N Weber Rd
Romeoville, IL 60446-4945
Phone (815) 372-1160

National Provider Directory

National Provider Directory

Locations

410 N Weber Rd
Romeoville, IL 60446
Phone (815) 293-2000

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740490259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N WEBER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604464945",
            "telephone_number": "815-372-1160",
            "fax_number": "815-372-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N WEBER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604464945",
            "telephone_number": "815-372-1160",
            "fax_number": "815-372-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILLON DENTAL LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIVANANTHAN",
        "authorized_official_first_name": "INTHUMATHY",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "815-372-1160",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.