Active NPI
Gunveen Chawla
- General Practice Dentistry
- Bloomingdale, IL
National Provider Identifier
1891176988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.031571
- Practice address
- 366 W Army Trail Rd Ste 310a
Bloomingdale, IL 60108 - Phone
- (978) 466-6800
- NPI assigned
- Jun 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1856963 | MA | |
| General Practice Dentistry | 1223G0001X | 019.031571 | IL | Primary |
Addresses
Primary practice location
366 W Army Trail Rd Ste 310a
Bloomingdale, IL 60108
Mailing address
PO Box 860036
Minneapolis, MN 55486-0036
Phone (917) 702-9234
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 |
|---|---|---|---|
| DN1856963 | MA | MD | Dentist |
| 019.031571 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1891176988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860036",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860036",
"telephone_number": "917-702-9234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 W ARMY TRAIL RD STE 310A",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "60108",
"telephone_number": "978-466-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAWLA",
"first_name": "GUNVEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-15",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1856963",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.031571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.