Active NPI
Anand Soni, D.D.S.
- Dentist
- Skokie, IL
National Provider Identifier
1891840104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019-026773
- Practice address
- 3919 Howard St
Skokie, IL 60076-3778 - Phone
- (847) 324-9428
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 019-026773 | IL | Primary |
Addresses
Primary practice location
3919 Howard St
Skokie, IL 60076-3778
Mailing address
3919 Howard St
Skokie, IL 60076-3778
Phone (847) 324-9428
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160517000006 | IL | Order and Referring Only - Other (Non-Physician) | 1658660543 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-026773 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1891840104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3919 HOWARD ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600763778",
"telephone_number": "847-324-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3919 HOWARD ST",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600763778",
"telephone_number": "847-324-9428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONI",
"first_name": "ANAND",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-026773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.