Inthumathy Sivananthan, M

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019023413 Issued in IL

Practice address

2783 Maple Ave
Lisle, IL 60532

Phone

(630) 857-3444

Fax

(630) 857-3056

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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.

• Hare Krishna Dental PLLC

  • General Practice Dentistry
  • Lisle, IL
  • NPI 1043947260
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1750416434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 MAPLE AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "60532",
            "telephone_number": "630-857-3444",
            "fax_number": "630-857-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 MAPLE AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "60532",
            "telephone_number": "630-857-3444",
            "fax_number": "630-857-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVANANTHAN",
        "first_name": "INTHUMATHY",
        "name_prefix": "Dr.",
        "credential": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Margaret Shinault, WHNP
• Saud Siddiqui, MD
• Silly Goose Speech Therapy, PLLC
• Luann Silzer
• Peter Sismour
• Christina Ann Skaar, PA
• Megan Foody Skarr, APRN, FNP-C
• Molly Skawski, LCSW
• Natalie Slankard, CCC-SLP
• Kathy Smith, LPC

• General Practice Dentistry in Lisle, IL
• Providers in Lisle, 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 Apr 25, 2019; 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.