NPIMap

Organization Active NPI

Preethi Mohan DDS LLC

  • Dentist
  • Aurora, IL
National Provider Identifier
1902217698
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019029685 Issued in IL
Legal business name
PREETHI MOHAN DDS LLC
Practice address
305 W Indian TRL
Aurora, IL 60506-2400
Phone
(630) 859-8660
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Preethi Mohan, DDSNPI 1467875534
Title
Dentist
Phone
(630) 859-8660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019029685 IL Primary

Addresses

Primary practice location

305 W Indian TRL
Aurora, IL 60506-2400

Mailing address

305 W Indian TRL
Aurora, IL 60506-2400
Phone (630) 859-8660

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1902217698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W INDIAN TRL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605062400",
            "telephone_number": "630-859-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W INDIAN TRL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605062400",
            "telephone_number": "630-859-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREETHI MOHAN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "PREETHI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-859-8660",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.