NPIMap

Organization Active NPI

Surekha Sakala P.C.

  • General Practice Dentistry
  • Aurora, IL
National Provider Identifier
1841346574
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUREKHA SAKALA P.C.
Practice address
900 N Lake St
Aurora, IL 60506-2535
Phone
(630) 892-0015
Fax
(630) 892-9902
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Surekha Sakala, DDSNPI 1205825817
Title
President
Phone
(630) 892-0015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IL Primary

Addresses

Primary practice location

900 N Lake St
Aurora, IL 60506-2535

Mailing address

900 N Lake St
Aurora, IL 60506-2535
Phone (630) 892-0015

Other identifiers 2

IdentifierTypeStateIssuer
9179987MedicaidIL
1004389MedicaidIL

Other names 1

  • northgate dental center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841346574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N LAKE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605062535",
            "telephone_number": "630-892-0015",
            "fax_number": "630-892-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N LAKE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605062535",
            "telephone_number": "630-892-0015",
            "fax_number": "630-892-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUREKHA SAKALA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAKALA",
        "authorized_official_first_name": "SUREKHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-892-0015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9179987",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004389",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "northgate dental center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.