Active NPI
Aesha Bhatt
- General Practice Dentistry
- Schaumburg, IL
National Provider Identifier
1821736992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.034321
- Practice address
- 2505 W Schaumburg Rd
Schaumburg, IL 60194-3887 - Phone
- (847) 818-8266
- NPI assigned
- May 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.034321 | IL | Primary |
Addresses
Primary practice location
2505 W Schaumburg Rd
Schaumburg, IL 60194-3887
Mailing address
448 Jason LN
Schaumburg, IL 60173-2068
Phone (224) 616-9229
Other practice location 1
621 S New Ballas Rd Ste 10
Saint Louis, MO 63141-8232
Phone (314) 251-5775
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.034321 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1821736992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 JASON LN",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601732068",
"telephone_number": "224-616-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 W SCHAUMBURG RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601943887",
"telephone_number": "847-818-8266"
}
],
"practiceLocations": [
{
"address_1": "621 S New Ballas Rd Ste 10",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418232",
"country_code": "US",
"telephone_number": "314-251-5775",
"fax_number": "314-251-5776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHATT",
"first_name": "AESHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-26",
"last_updated": "2023-12-21",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.034321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.