Active NPI
Adrija Deepak Belur
- General Practice Dentistry
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.034441
- Practice address
- 1767 W Ogden Ave Ste 123
Naperville, IL 60540-3956 - Phone
- (630) 983-2600
- NPI assigned
- Jul 11, 2023
- Last updated
- Jul 28, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 019.034441 | IL | Primary |
Addresses
Primary practice location
1767 W Ogden Ave Ste 123
Naperville, IL 60540-3956
Mailing address
1730 Park St Ste 106
Naperville, IL 60563-2609
Other practice location 1
1224 W Ogden Ave
Naperville, IL 60563-2952
Phone (630) 305-6161
Other practice location 2
341 E Geneva Rd
Carol Stream, IL 60188-2438
Phone (630) 588-0003
Other practice location 3
964 Brook Forest Ave
Shorewood, IL 60404-8807
Phone (815) 254-1177
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.034441 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashton Dental PC | General Practice | Current | Accepting new patients |
| Ogden Valley Dental | General Practice | Past | Accepting new patients |
| Troy Dental | General Practice | Past | Accepting new patients |
| Simply Dental | General Practice | Past | Accepting new patients |
Locations
1730 Park St
Ste 106
Naperville, IL 60563
1767 W Ogden Ave
Ste 123
Naperville, IL 60540
Phone (630) 983-2600
Organizations & group practices 4
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.
-
- General Practice Dentistry
- Naperville, IL
- NPI 1013248368
-
- General Practice Dentistry
- Carol Stream, IL
- NPI 1922339266
-
- General Practice Dentistry
- Shorewood, IL
- NPI 1568793818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1861171530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 PARK ST STE 106",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605632609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1767 W OGDEN AVE STE 123",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605403956",
"telephone_number": "630-983-2600"
}
],
"practiceLocations": [
{
"address_1": "1224 W Ogden Ave",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605632952",
"country_code": "US",
"telephone_number": "630-305-6161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "341 E Geneva Rd",
"address_purpose": "LOCATION",
"city": "Carol Stream",
"state": "IL",
"postal_code": "601882438",
"country_code": "US",
"telephone_number": "630-588-0003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "964 Brook Forest Ave",
"address_purpose": "LOCATION",
"city": "Shorewood",
"state": "IL",
"postal_code": "604048807",
"country_code": "US",
"telephone_number": "815-254-1177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELUR",
"first_name": "ADRIJA DEEPAK",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-11",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.034441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.