NPIMap

Organization Active NPI

Sudhir K. Bhatia DDS Ms LTD

  • Pediatric Dentistry
  • Woodridge, IL
National Provider Identifier
1902294291
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
019015183 Issued in IL
Legal business name
SUDHIR K. BHATIA DDS MS LTD
Practice address
7451 Woodward Ave
Suite 102
Woodridge, IL 60517-2665
Phone
(630) 725-0947
Fax
(630) 725-0949
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Dr. Sudhir Kumar Bhatia, DDSNPI 1245316546
Title
President of Corporation
Phone
(630) 725-0947

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 019015183 IL Primary

Addresses

Primary practice location

7451 Woodward Ave
Suite 102
Woodridge, IL 60517-2665

Mailing address

7451 Woodward Ave
Suite 102
Woodridge, IL 60517-2665
Phone (630) 725-0947

Other identifiers 1

IdentifierTypeStateIssuer
1245316546MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1902294291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 WOODWARD AVE",
            "address_2": "SUITE 102",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172665",
            "telephone_number": "630-725-0947",
            "fax_number": "630-725-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 WOODWARD AVE",
            "address_2": "SUITE 102",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172665",
            "telephone_number": "630-725-0947",
            "fax_number": "630-725-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHIR K. BHATIA DDS MS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "630-725-0947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019015183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245316546",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.