Individual provider Active NPI

Adrija Deepak Belur

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1861171530
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.034441 Issued in IL
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
019.034441ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ashton Dental PC General Practice CurrentSince Jul 16, 2023 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.

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.

Verify at the official NPI Registry.