Dr vasanth raj dharmaraj

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1427286798 NPI number — VASANTH RAJ DHARMARAJ D.D.S Table of Content • • • • •

Additional Information NPI Profile Modification General Information Detailed Information Driving Directions

Additional Information You can get information about the owner of the 1427286798 NPI number — VASANTH RAJ DHARMARAJ D.D.S in the and Text formats.

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General Information NPI Number Entity Type Code Provider Name (Legal Business Name)

: 1427286798 : Individual : VASANTH RAJ DHARMARAJ D.D.S

Provider Business Mailing Address First Line

: 430 W ERIE DENTAL DREAMS LLC

PDF


Second Line City State Zip Country

: : : : :

Telephone Number

:

Fax Number

:

SUITE 200 CHICAGO IL 60610 US 920-838-1649

920-838-1649 FREE

Provider Business Practice Location Address First Line : 430 W ERIE ST Second Line : SUITE - 200 City : CHICAGO State : IL Zip : 60654-6914 Country : US Telephone Number

:

Fax Number

:

920-838-1649

Authorized Official Title or Position Name Credential Telephone Number

: : : :

Provider Enumeration Date Last Update Date

: 06/25/2009 : 06/25/2009

920-838-1649 FREE


Detailed Information NPI Number 1427286798 has the “Individual” type of ownership and has been registered to the following primary business legal name (which is a provider name or healthcare organization name) — VASANTH RAJ DHARMARAJ D.D.S. Records indicate that the provider gender is “Male”. The enumeration date of this NPI Number is 06/25/2009. NPI Numer information was last updated at 06/25/2009. The provider is physically located (Business Practice Location) at: 430 W ERIE ST SUITE - 200 CHICAGO , IL 60654-6914 US The provider can be reached at his practice location using the following numbers:

Phone 920-838-1649 begin_of_the_skype_highlighting Fax The provider's official mailing address is: 430 W ERIE DENTAL DREAMS LLC SUITE 200 CHICAGO , IL 60610 US The contact numbers associated with the mailing address are:

920-838-1649 FREE end_of_the_skype_highlighting


Phone 920-838-1649 begin_of_the_skype_highlighting Fax

920-838-1649 FREE end_of_the_skype_highlighting

The authorized official registered with the “1427286798” NPI Number is . The authorized official title (position) is . You can reach the authorized official at the following phone number .

Scope of Practice The following information about the speciality of the provider is available:

# 1 #

Taxonomy Code 1223G0001X Field Name

Taxonomy

License Number

General Practice

DS037919

Value

1

NPI

1427286798

2

Entity Type

Individual

License Number State PA Description

10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Code describing the type of health care provider that is being assigned an NPI. Codes are: • 1 = (Person): individual human being who furnishes health care; •

2 = (Non-person): entity other than an individual human


being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).

3

Is Sole Proprietor

N

Indicate whether provider is a sole proprietor. • A sole proprietor is the sole (the only) owner of a business that is not incorporated; that unincorporated business is a sole proprietorship. • In a sole proprietorship, the sole proprietor owns all of the assets of the business and is solely liable for all of the debts of the business. • There is no difference between a sole proprietorship and a sole proprietor; they are legally a single entity: an individual. • In terms of NPI assignment, a sole proprietor is an Entity type 1 (Individual) and is eligible for only one NPI (the sole proprietorship business is not eligible for its own NPI). • As an individual, a sole proprietorship cannot be a subpart and cannot have subparts. (See NPI Final Rule for information about subparts.) • A sole proprietorship may or may not have employees. • Often, the IRS assigns an EIN to a sole proprietorship in order to protect the sole proprietor's SSN from disclosure in claims or on W-2s. NPPES does not capture a sole proprietorship's EIN. •

4

Provider Last Name (Legal Name)

DHARMARAJ

Many types of health care providers could be sole proprietorships (for example, group practices, pharmacies, home health agencies).

The last name of the provider (if an individual). If the provider is an individual, this is the legal name. This name must match the name on file with the Social Security Administration (SSA). In addition, the date of birth must match that on file with SSA. (First and last names


are required for initial applications.) The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. 5

6

Provider First Name Provider Credential Text

VASANTH RAJ

The first name of the provider, if the provider is an individual.

D.D.S

The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

7

Provider First Line Business Mailing Address

430 W ERIE DENTAL DREAMS LLC

The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.

Provider Second Line Business Mailing Address

SUITE 200

8

The second line mailing address of the provider being identified. This data element may contain the same information as ''Provider second line location address''.

9

Provider Business Mailing Address City Name

CHICAGO

The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.


10

Provider Business Mailing Address State Name

IL

The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.

11

Provider Business Mailing Address Postal Code

60610

The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.

12

Provider Business Mailing Address Country Code

US

The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.

13

Provider Business Mailing Address Telephone Number

14

Provider First Line Business Practice Location Address

15

Provider Second Line Business Practice Location

920-8381649 920838-1649 FREE

430 W ERIE ST

SUITE - 200

The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''.

The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.


Address

16

Provider Business Practice Location Address City Name

CHICAGO

The city name in the location address of the provider being identified.

17

Provider Business Practice Location Address State Name

IL

The State or Province name in the location address of the provider being identified.

18

Provider Business Practice Location Address Postal Code

60654-6914

The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.

19

Provider Business Practice Location Address Country Code

US

The country code in the location address of the provider being identified.

20

Provider

920-838-

The telephone number associated with the location address of the


Business Practice Location Address Telephone Number

1649 920838-1649 FREE

provider being identified.

21

Provider Enumeration Date

06/25/2009

The date the provider was assigned a unique identifier (assigned an NPI).

22

Last Update Date

06/25/2009

The date that a record was last updated or changed.

23

Provider Gender Code

M

The code designating the provider's gender if the provider is a person.

24

Provider Gender

Male

The provider's gender if the provider is a person.

25

Healthcare Provider Taxonomy Code #1

1223G0001X

The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.

26

Healthcare Provider Taxonomy 1

General Practice

Healthcare Provider Taxonomy #1

DS037919

Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign

27

Provider License Number 1


Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.

28

Provider License Number State Code 1

29

Healthcare Provider Primary Taxonomy Switch 1

PA

Y

Provider License Number State Code #1

Primary Taxonomy: • X - The primary taxonomy switch is Not Answered; • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record); •

N - The taxonomy is not the primary taxonomy.

Driving Directions to “ VASANTH RAJ DHARMARAJ D.D.S” Practice Location Language

Start Address San Diego

Practice Location 430 W ERIE ST SUITE - 200 CHICAGO IL 60654-6914


These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results. San Diego, CA, USA 2,079 mi- about 1 day 6 hours 1.

Head south on 4th Ave toward Broadway

30 ft

2.

Turn left onto Broadway

0.4 mi

3.

Turn left onto 11th Ave

0.3 mi

4.

Continue onto CA-163 N

11.1 mi

5.

Merge onto I-15 N

50.6 mi

6.

Keep right to continue on I-215 N, follow signs for Riverside/San Bernardino

34.7 mi

7.

Keep right to stay on I-215 N, follow signs for Main St/Interstate 215 N/San Bernardino/Barstow

20.8 mi

8.

Merge onto I-15 N

455 mi

Passing through Nevada, Arizona Entering Utah

9.

Take exit 132 to merge onto I-70 E toward Richfield/Denver

501 mi

Entering Colorado

10.

Take exit 269B on the left to merge onto I-76 E toward Ft Morgan

187 mi

Entering Nebraska

11.

Merge onto I-80 E

660 mi

Passing through Iowa Entering Illinois

12.

Take exit 4B to merge onto I-88 E/IL-92 E toward Sterling/Rock Falls

141 mi

Continue to follow I-88 E Partial toll road

13.

Merge onto I-290 E

13.2 mi


14.

Take the I-90 W/I-94 W/Kennedy Expy W exit toward Wisconsin

0.6 mi

15.

Merge onto I-90 W/I-94 W/Kennedy Expy

0.9 mi

16.

Take exit 50B for Ohio St E

0.8 mi

17.

Turn left onto N Orleans St

0.1 mi

18.

Turn left onto W Erie St

0.1 mi

Destination will be on the right

430 West Erie Street #200, Chicago, IL 60654, USA Map data Š2014 Google, INEGI


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