Ajitha Paruchuri, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

956 N Neltnor Blvd
Suite-316
West Chicago, IL 60185-5982

Phone

(630) 293-7777

Fax

(630) 293-7778

NPI assigned

Oct 10, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Ajitha Chagarlamoodi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• PA Dental Incorporated

  • General Practice Dentistry
  • Waukegan, IL
  • NPI 1013120005
  NPD Authorized official
• PA Dental Incorporated

  • General Practice Dentistry
  • Glenview, IL
  • NPI 1548809858
  NPD Authorized official
• Vpdental LLC

  • Dental Clinic/Center
  • West Chicago, IL
  • NPI 1346355856
  NPD (past) Authorized official

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1912995333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 HOPEWELL DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605027035",
            "telephone_number": "630-229-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 N NELTNOR BLVD",
            "address_2": "SUITE-316",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601855982",
            "telephone_number": "630-293-7777",
            "fax_number": "630-293-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARUCHURI",
        "first_name": "AJITHA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9176632",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AJITHA",
            "last_name": "CHAGARLAMOODI",
            "prefix": "DR.",
            "credential": "D.M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Optimized Health and Performance LLC
• Gregorio Reyes Orbeta, M.D.
• Linda Ordaz, LMT
• Orthoflex Physical Therapy, Inc
• Huma Faisal Pandit, M.D.
• Chirag Patel, APN, FNP
• Dimple D Patel, PSYD
• Falguni Patel, D.C.
• Harika Patel
• Jyoti Dhirubhai Patel

• General Practice Dentistry in West Chicago, IL
• Providers in West Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.