Rose J Elapunkal, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.031684 Issued in IL

Practice address

7760 W Devon Ave
Chicago, IL 60631-1500

Phone

(773) 775-2210

NPI assigned

Jun 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Webster Dental Care Edison Park, LTD

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1083079339
  NPD (past)

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1740775329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2082 COUNTRY CLUB DR",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605173033",
            "telephone_number": "630-607-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311500",
            "telephone_number": "773-775-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAPUNKAL",
        "first_name": "ROSE",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Elam, NP
• Aarthi Elango, DDS
• Arnold Elango, MD
• Anu Elangovan
• Siva Kumar Elangovan, M.D.
• Dina Michael Elaraj, MD
• Huda Elashi, PHARM.D.
• Adrianna Lauren Elashker, MD
• Elayan & Associates, PLLC
• Rozel Elazegui, M.D.

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.