Patrycja A Radon

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.032694 Issued in IL

Practice address

496 W Army Trail Rd
Carol Stream, IL 60188-9366

Phone

(630) 221-1577

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Meera Narsimhan DDS Inc

  dba sunshine family dental

  • Dentist
  • Carol Stream, IL
  • NPI 1932339652
  NPD (past)

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1871102111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 W SUNNYSIDE AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607064350",
            "telephone_number": "708-870-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 W ARMY TRAIL RD",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889366",
            "telephone_number": "630-221-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADON",
        "first_name": "PATRYCJA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Primary Care Physicians S.C.
• Gregory T. Prevatt, O,T,S.C.
• Prime Lab Services
• Qass Wellness Revolution LLC (Prime Care Transit LLC)
• George Eugene Radice, DC
• Asad Rafiq, MD
• Punam Rajyaguru, DPT
• Osiris Ramirez
• Kristen Ras
• Gina Marie Ratcliffe, PT

• General Practice Dentistry in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• General Practice Dentistry in Illinois

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