NPIMap

Organization Active NPI

Neeta F. Bhushan DDS PC

  • Dentist
  • Lisle, IL
National Provider Identifier
1891921292
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019027625 Issued in IL
Legal business name
NEETA F. BHUSHAN DDS PC
Practice address
4712 Main St
Lisle, IL 60532
Phone
(630) 964-0944
Fax
(630) 964-0956
NPI assigned
May 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Dr. Neeta F Bhushan, D.D.S
Title
President
Phone
(630) 964-0944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019027625 IL Primary

Addresses

Primary practice location

4712 Main St
Lisle, IL 60532

Mailing address

4712 Main St
Lisle, IL 60532
Phone (630) 964-0944

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1891921292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 MAIN ST",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "60532",
            "telephone_number": "630-964-0944",
            "fax_number": "630-964-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 MAIN ST",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "60532",
            "telephone_number": "630-964-0944",
            "fax_number": "630-964-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEETA F. BHUSHAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-31",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "BHUSHAN",
        "authorized_official_first_name": "NEETA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-964-0944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.