Individual provider Active NPI

Kavita Nana, DDS

  • Dentist
  • Aurora, IL
National Provider Identifier
1902245491
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019029852 Issued in IL
Practice address
57 E Downer PL
Aurora, IL 60505-3340
Phone
(630) 859-8686
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12011995A IN
Dentist 122300000X 019029852 IL Primary

Addresses

Primary practice location

57 E Downer PL
Aurora, IL 60505-3340

Mailing address

57 E Downer PL
Aurora, IL 60505-3340
Phone (630) 859-8686

Other names 1

  • Kavita Nana Bhagchandani Other name

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

LicenseStateTypeSpecialty
019029852ILMDDentist
12011995AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of Indiana, P.C. Past Accepting new patients
Kavita Nana PC PastSince Jun 11, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1902245491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 E DOWNER PL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605053340",
            "telephone_number": "630-859-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 E DOWNER PL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605053340",
            "telephone_number": "630-859-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANA",
        "first_name": "KAVITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011995A",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAVITA",
            "last_name": "BHAGCHANDANI",
            "middle_name": "NANA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 1, 2023; 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.