Organization Active NPI

Maxident LLC

  • Dental Clinic/Center
  • Joliet, IL
National Provider Identifier
1932543329
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019028017 Issued in IL
Legal business name
MAXIDENT LLC
Practice address
825 Plainfield Rd
Joliet, IL 60435-5900
Phone
(224) 800-1432
NPI assigned
Apr 29, 2013
Last updated
Apr 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Dr. Sachin Verma, DDSNPI 1497984157
Title
Dentist
Phone
(224) 800-1432

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 137000782 IL
Dental Clinic/Center 261QD0000X 019028017 IL Primary

Addresses

Primary practice location

825 Plainfield Rd
Joliet, IL 60435-5900

Mailing address

901 S Plum Grove Rd
Palatine, IL 60067-7256
Phone (224) 800-1432

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1932543329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S PLUM GROVE RD",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677256",
            "telephone_number": "224-800-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 PLAINFIELD RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355900",
            "telephone_number": "224-800-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIDENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "SACHIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "224-800-1432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "137000782",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019028017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.