Rajiv Puri, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019026692 Issued in IL

Practice address

150 E Irving Park Rd
Wood Dale, IL 60191-2024

Phone

(630) 616-1020

Fax

(630) 616-1725

NPI assigned

Jan 30, 2007

Sex

Male

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)

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.

• Rajiv Puri PC

  • General Practice Dentistry
  • Bartlett, IL
  • NPI 1356786743
  NPD (past) Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1750428009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E IRVING PARK RD",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601912024",
            "telephone_number": "630-616-1020",
            "fax_number": "630-616-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E IRVING PARK RD",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601912024",
            "telephone_number": "630-616-1020",
            "fax_number": "630-616-1725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "372 Summit St",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601203759",
            "country_code": "US",
            "telephone_number": "847-695-7100",
            "fax_number": "847-695-7131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURI",
        "first_name": "RAJIV",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Pro Care LLC
• Lenea Piotrowski-Smith, COTA
• Practitioner2Youllc
• Nathaniel Proce, DC
• Pure Medical Group LLC
• Quest Diagnostics LLC Il
• Abigail J Quinones
• Radhika Shah DMD LLC
• Anna M Rakowski, M.S. CCC-SLP/L
• Maryam Rauf

• Dentist in Wood Dale, IL
• Providers in Wood Dale, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.