BAMINI BLAU (NPI# 1376797399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376797399 |
| Entity Type | Individual |
| Full Name | BAMINI BLAU |
| Practice Address |
774 W Bartlett Rd Bartlett IL 60103-4482 |
| Practice Telephone | 6302133636 |
| Practice Fax Number | 6302133633 |
| Mailing Telephone | 6302133636 |
| Mailing Fax Number | 6302133633 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
021002113 | IL | Dental Providers |
| Street Address |
774 W BARTLETT RD |
| City | BARTLETT |
| State | IL |
| Zip Code | 60103-4482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982754123 | Gentlecare for Kids Teeth | Dentist | 774 W Bartlett Rd, Bartlett, IL 60103 | 2007-01-11 |
| 1497806384 | Robert Blau | Dentist | 774 W Bartlett Rd, Bartlett, IL 60103 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467916593 | Nicole Taylor Gerdevich | Specialist/Technologist | 1302 Branden Lane, Bartlett, IL 60103 | 2019-01-23 |
| 1154817823 | Ada Oguejiofor | Registered Nurse | 269 Norway Drive, Bartlett, IL 60103 | 2018-07-06 |
| 1295153765 | Paul Alegro | Physical Therapy Assistant | 810 Seacrest Lane, Bartlett, IL 60103 | 2014-04-02 |
| 1184051211 | John Katsis | Dentist | 110 S. Oak Avenue, Bartlett, IL 60103 | 2013-10-03 |
| 1356786743 | Rajiv Puri PC | Dentist | 849 S Route 59, Bartlett, IL 60103 | 2013-04-30 |
| 1356786784 | Gilbert Noble Bael | Physical Therapist | 829 Carillon Drive, Bartlett, IL 60103 | 2013-04-29 |
| 1912282641 | Elaine S Tate | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-10-13 |
| 1104108968 | Sonal Vyas | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-09-16 |
| 1144502261 | Les Edward Wingert | Pharmacist | 891 South Route 59, Bartlett, IL 60103 | 2011-09-14 |
| 1629389564 | Hope Hebert | Counselor | 364 Sundance Drive, Bartlett, IL 60103 | 2010-06-25 |
| Find all providers in zip 60103 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629262399 | Brink & White Pediatric Dental Associates, Pllc | Dentist | 6565 Stage Road, Suite 2, Bartlett, TN 38134-0280 | 2007-09-05 |
| 1952425282 | Bartlett Pediatric Dentistry | Dentist | 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2007-03-19 |
| 1982754123 | Gentlecare for Kids Teeth | Dentist | 774 W Bartlett Rd, Bartlett, IL 60103 | 2007-01-11 |
| 1033290929 | Joshua Aaron Brink Sr. | Dentist | 6565 Stage Rd Ste 2, Bartlett, TN 38134-3830 | 2006-10-18 |
| 1043534829 | Timothy P. Bakelaar, D.m.d, Pllc | Dentist | 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2010-03-23 |
| 1124342910 | Jeff Williams | Dentist | 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2010-03-23 |
| 1063695930 | Tim Bakelaar | Dentist | 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2007-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709433 | Children's Center for Dentistry | Dentist | 314 Susan Dr, Normal, IL 61761-6206 | 2020-10-26 |
| 1073125746 | Jessica Mattern Dds, Pllc | Dentist | 326 W Burlington Ave, La Grange, IL 60525-2363 | 2020-08-23 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1710450754 | Drs Selberg & Rice Pllc | Dentist | 4945 Stone Falls Ctr Ste B, O Fallon, IL 62269-7801 | 2019-01-02 |
| 1821583634 | Dentalgenix | Dentist | 113 E Schaumburg Rd, Schaumburg, IL 60194-3518 | 2018-06-25 |
| 1528562253 | Rachel Vorwaller | Dentist | 1460 N Halsted St Ste 403, Chicago, IL 60642-2607 | 2018-03-19 |
| 1942740006 | Dhwani M. Joshi | Dentist | 195 S Rand Rd Ste 110, Lake Zurich, IL 60047-2205 | 2017-03-08 |
| 1316393390 | Erin Marie Petrik | Dentist | 2530 N Clark St, Apt 203, Chicago, IL 60614-4972 | 2016-05-10 |
| 1669839593 | Algonquin Kids Dentistry, Inc | Dentist | 4097 W Algonquin Rd, Algonquin, IL 60102-9401 | 2016-01-22 |
| 1720468598 | Mehedia Haque | Dentist | 2062 N Milwaukee Ave, Chicago, IL 60647 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
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| 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.