Shobhit Bansal

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19030435 Issued in IL

Practice address

9920 N Route 47
Huntley, IL 60142

Phone

(646) 703-3924

NPI assigned

Jun 24, 2014

Last updated

Dec 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shina 007 Inc

  dba Dental Arts of Huntley

  • Dentist
  • Huntley, IL
  • NPI 1740809417
  NPD Authorized official
• Shinaya007 Dentistry Inc

  • Dental Clinic/Center
  • Machesney Park, IL
  • NPI 1750098703
  NPD Authorized official

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1972918308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 N IL 47",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426072",
            "telephone_number": "847-802-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 N ROUTE 47",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "60142",
            "telephone_number": "646-703-3924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1576 W Lane Rd",
            "address_purpose": "LOCATION",
            "city": "Machesney Park",
            "state": "IL",
            "postal_code": "611151903",
            "country_code": "US",
            "telephone_number": "815-219-7576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "SHOBHIT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030435",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19030435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Alexander Assmus, MD
• Athletico LTD (Athletico Physical Therapy)
• William L Awe, D.C.
• Oluwafisayo Awosika, PHARMD
• Rebecca J Baker, CNP
• Brenna Barrett, PHARMD
• Agnieszka Barszczak, CRNA
• Michelle J Bator, APRN, CNP
• Jennifer Amanda Baudin
• Kara Baumhardt, DPT

• General Practice Dentistry in Huntley, IL
• Providers in Huntley, 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 Dec 2, 2024; 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.