Om Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OM FAMILY DENTAL PLLC

Doing business as

Meadows Family Dentistry

Practice address

1174 W Maple Ave
Mundelein, IL 60060-1438

Phone

(847) 305-4700

Fax

(847) 305-3090

NPI assigned

Mar 16, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Harini Katakamsetti, DDSNPI 1992240030

Title

President

Phone

(856) 780-2021

Specialties & licenses 1

Addresses

Other names 1

• MEADOWS FAMILY DENTISTRY Doing business as

Locations

Practitioners 2

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

• Harini Katakamsetti

  • Dentist
  • Round Lake Beach, IL
  • NPI 1992240030
  NPD Authorized official
• Gaurav Pravinchandra Modi

  • General Practice Dentistry
  • Mundelein, IL
  • NPI 1215856992
  NPD (past)

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1740938000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 W MAPLE AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601438",
            "telephone_number": "847-305-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 W MAPLE AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601438",
            "telephone_number": "847-305-4700",
            "fax_number": "847-305-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "KATAKAMSETTI",
        "authorized_official_first_name": "HARINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-780-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEADOWS FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northern Illinois Eye Clinic LLC
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• Nova Dental Care PLLC
• Karen O'Keeffe, PSY.D.
• Peter James Olakowski
• Lauren Marie Orf, RN, FNP-C
• Anne-Renee Orjansen, PHARM. D., RPH
• Orthodontic Experts LTD
• Jacqueline R Pangilinan, LCSW
• Paige Nicole Parola, RD, LDN

• General Practice Dentistry in Mundelein, IL
• Providers in Mundelein, 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 Mar 16, 2022; 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.