Organization Active NPI

Shina 007 Inc

Doing business as Dental Arts of Huntley

  • Dentist
  • Huntley, IL
National Provider Identifier
1740809417
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SHINA 007 INC
Doing business as
Dental Arts of Huntley
Practice address
9920 N Route 47
Huntley, IL 60142
Phone
(646) 703-3924
NPI assigned
Apr 13, 2020
Last updated
Apr 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Dr. Shobhit BansalNPI 1972918308
Title
Owner
Phone
(646) 703-3924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

9920 N Route 47
Huntley, IL 60142

Mailing address

9920 N Route 47
Huntley, IL 60142
Phone (646) 703-3924

Other names 1

  • Dental Arts of Huntley Doing business as

National Provider Directory

National Provider Directory

Locations

9920 N State Route 47
Huntley, IL 60142
Phone (646) 703-3924

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1740809417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 N ROUTE 47",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "60142",
            "telephone_number": "646-703-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 N ROUTE 47",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "60142",
            "telephone_number": "646-703-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINA 007 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "SHOBHIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-703-3924",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Arts of Huntley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.