NISHA MEHTA (NPI# 1255644274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255644274 |
| Entity Type | Individual |
| Full Name | NISHA MEHTA |
| Credential | DDS |
| Practice Address |
1649 W Cortland St Chicago IL 60622-8974 |
| Mailing Address |
777 N Michigan Ave Apt 3809 Chicago IL 60611-6646 |
| Practice Telephone | 5747073359 |
| Mailing Telephone | 5747073359 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2017-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 019028352 | IL | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
021002599 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851588172 | Nisha Panjwani Mehta | Optometrist | 2531 E Lyon Station Rd, Suite F, Creedmoor, NC 27522-9401 | 2007-10-01 |
| 1518387554 | Nisha Mehta | Dentist | 2780 Fm 1463 Rd Ste 203, Katy, TX 77494-7938 | 2014-04-17 |
| 1659610715 | Nisha Mehta | Pharmacist | 76 Graham Ave, Brooklyn, NY 11206-4017 | 2013-02-10 |
| 1205164449 | Nisha Mehta | Social Worker | 31 Heath St, Jamaica Plain, MA 02130-1650 | 2009-11-30 |
| 1003047630 | Nisha Mehta | Pharmacist | 820 S Damen Ave, Pharmacy (119), Chicago, IL 60612-3728 | 2009-07-30 |
| 1831363639 | Nisha Mehta | Radiology | 423 E 23rd St, New York, NY 10010-5011 | 2008-04-14 |
| Street Address |
1649 W CORTLAND ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-8974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| 1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
| Find all providers in zip 60622 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942793815 | Millennium Dental Specialist | Dentist | 1624 W Division St Ste B, Chicago, IL 60622-3908 | 2018-06-14 |
| 1629453378 | Charles Richard Neach | Dentist | 801 S Paulina St Rm 302a, Chicago, IL 60612-7210 | 2015-07-23 |
| 1962841601 | Vikash Suresh Huliyar | Dentist | 111 N Wabash Ave Ste 1517, Chicago, IL 60602 | 2013-06-16 |
| 1245678473 | Advanced Endodontics of Chicago | Dentist | 111 N Wabash Ave Ste 812, Chicago, IL 60602-1912 | 2013-06-10 |
| 1780020461 | Kimberly Smiles | Dentist | 1835 N Milwaukee Ave, Cw, Chicago, IL 60647-6186 | 2013-05-21 |
| 1619237088 | David Gilbert Oser | Dentist | 901 W Madison St Unit 619, Chicago, IL 60607-3372 | 2012-05-20 |
| 1922331370 | Susan Rutherford Torma | Dentist | 1642 W. Belmont Ave, Chicago, IL 60657 | 2009-09-16 |
| 1477723302 | Clarence Towns Jr. | Dentist | 8741 South Greenwood Ave, Suite 107, Chicago, IL 60619 | 2008-03-06 |
| 1508035619 | Innovative Endodontics, P.C. | Dentist | 4346 N Pulaski Rd # Ab, Chicago, IL 60641-2156 | 2008-02-22 |
| 1881813970 | Priscilla Yeung | Dentist | 1725 W North Ave, Suite 102, Chicago, IL 60622-2188 | 2007-04-25 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on NISHA MEHTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.