Individual provider Active NPI

Priyanka Pandya, D.M.D

  • General Practice Dentistry
  • Westmont, IL
National Provider Identifier
1902257595
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019030768 Issued in IL
Practice address
407 W Ogden Ave
Westmont, IL 60559-2299
Phone
(630) 241-3737
Fax
(630) 241-6894
NPI assigned
Jun 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019030768 IL Primary

Addresses

Primary practice location

407 W Ogden Ave
Westmont, IL 60559-2299

Mailing address

1551 Bayou Path Dr
Naperville, IL 60563-3496
Phone (630) 207-2758

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
019030768ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kakuma Dental P C General Practice CurrentSince Jan 19, 2025 Accepting new patients
Downers Dental General Practice PastSince Jan 19, 2025 Accepting new patients
Dental Experts, LLC General Practice Past Accepting new patients

Locations

407 W Ogden Ave
Westmont, IL 60559
Phone (630) 241-3737

Organizations & group practices 3

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": "1466812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1902257595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 BAYOU PATH DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633496",
            "telephone_number": "630-207-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W OGDEN AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592299",
            "telephone_number": "630-241-3737",
            "fax_number": "630-241-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "PRIYANKA",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-25",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.