Poornima Swamy Gangaji, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.032807 Issued in IL

Practice address

760 N, Illinois Rte 59
Ste100
Naperville, IL 60563

Phone

(630) 333-9571

NPI assigned

Sep 1, 2020

Last updated

Oct 5, 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 2

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.

• Dental Pointe

  • General Practice Dentistry
  • Naperville, IL
  • NPI 1134541881
  NPD (past)
• Hy Line Dental

  • Dentist
  • Naperville, IL
  • NPI 1407206238
  NPD (past)

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1881208478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 PALOMINO DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029666",
            "telephone_number": "312-806-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 N, ILLINOIS RTE 59",
            "address_2": "STE100",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60563",
            "telephone_number": "630-333-9571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6319 Fairview Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605592889",
            "country_code": "US",
            "telephone_number": "630-737-9176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 S, Illinois Rte 59",
            "address_2": "Unit #107",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "60564",
            "country_code": "US",
            "telephone_number": "630-723-6333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANGAJI",
        "first_name": "POORNIMA",
        "middle_name": "SWAMY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032807",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Nitze Gallegos
• Gallery Dental of Naperville, LTD
• Linda K. Gallo, M.D.
• Amulya Gampa, M.D.
• Rani Ganesan, M.D.
• Meredith Gantos, DDS, FAGD.
• Balamoorti N Gaonkar, M.D.
• Sandeep Narayan Gaonkar, M.D.
• Robin Lee Garber, MA, ATR, LCPC
• Phillip T Garbis, LPTA

• Dentist in Naperville, IL
• Providers in Naperville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.