Individual provider Active NPI

Sameet Thakrar

  • General Practice Dentistry
  • Westchester, IL
National Provider Identifier
1750647335
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19029094 Issued in IL
Practice address
4 Westbrook Corporate Ctr Ste 102
Westchester, IL 60154-5785
Phone
(708) 562-5621
Fax
(708) 562-7657
NPI assigned
Apr 8, 2012
Last updated
Mar 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.029094 IL
General Practice Dentistry 1223G0001X 19029094 IL Primary

Addresses

Primary practice location

4 Westbrook Corporate Ctr Ste 102
Westchester, IL 60154-5785

Mailing address

4 Westbrook Corporate Ctr Ste 102
Westchester, IL 60154-5785
Phone (708) 562-5621

Other practice location 1

1940 Elmwood Ave
Wilmette, IL 60091-1430
Phone (847) 251-7946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.029094ILMDGeneral Practice Dentistry
19029094ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sameet Thakrar DDS PC CurrentSince Mar 20, 2022 Accepting new patients
Westchester Family Dental LTD General Practice PastSince Mar 20, 2022 Accepting new patients

Locations

4 Westbrook Corporate Ctr
Ste 102
Westchester, IL 60154
Phone (708) 562-5621

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1333843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1750647335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WESTBROOK CORPORATE CTR STE 102",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545785",
            "telephone_number": "708-562-5621",
            "fax_number": "708-562-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WESTBROOK CORPORATE CTR STE 102",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545785",
            "telephone_number": "708-562-5621",
            "fax_number": "708-562-7657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmette",
            "state": "IL",
            "postal_code": "600911430",
            "country_code": "US",
            "telephone_number": "847-251-7946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKRAR",
        "first_name": "SAMEET",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-08",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029094",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19029094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

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