Active NPI
Rajpaul Singh
- Dentist
- Peoria, IL
National Provider Identifier
1861831885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019029477
- Practice address
- 7310 N Villa Lake Dr Ste a
Peoria, IL 61614-8268 - Phone
- (309) 689-0746
- Fax
- (309) 689-0759
- NPI assigned
- Jun 24, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019029477 | IL | Primary |
Addresses
Primary practice location
7310 N Villa Lake Dr Ste a
Peoria, IL 61614-8268
Mailing address
7310 N Villa Lake Dr Ste a
Peoria, IL 61614-8268
Phone (309) 689-0746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150605001838 | IL | Order and Referring Only - Dentist | 1759602410 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019029477 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of Illinois, P.C. | Past | Accepting new patients | |
| Lifetime Dental Care of Illinois, PC | Past | Accepting new patients | |
| Dental Professionals of Illinois, P.C. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Peoria, IL
- NPI 1093928368
-
- General Practice Dentistry
- Gurnee, IL
- NPI 1972925584
-
- General Practice Dentistry
- Rockford, IL
- NPI 1902028178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1861831885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7310 N VILLA LAKE DR STE A",
"city": "PEORIA",
"state": "IL",
"postal_code": "616148268",
"telephone_number": "309-689-0746",
"fax_number": "309-689-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7310 N VILLA LAKE DR STE A",
"city": "PEORIA",
"state": "IL",
"postal_code": "616148268",
"telephone_number": "309-689-0746",
"fax_number": "309-689-0759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGH",
"first_name": "RAJPAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-24",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.