Active NPI
Ginu Devi Dahiya, DMD, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Chicago, IL
National Provider Identifier
1962850537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 021002747
- Practice address
- 5333 N Clark St
Chicago, IL 60640-2121 - Phone
- (773) 728-5333
- NPI assigned
- May 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019030612 | IL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 021002747 | IL | Primary |
Addresses
Primary practice location
5333 N Clark St
Chicago, IL 60640-2121
Mailing address
1030 N Dearborn St
Apt 707
Chicago, IL 60610-7835
Phone (216) 269-9121
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019030612 | IL | MD | Dentist |
| 021002747 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1962850537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 N DEARBORN ST",
"address_2": "APT 707",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606107835",
"telephone_number": "216-269-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5333 N CLARK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402121",
"telephone_number": "773-728-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHIYA",
"first_name": "GINU",
"middle_name": "DEVI",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019030612",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "021002747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.