Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093385312 Individual Practitioner Female Practitioner

Divya Gade

Dentist - General Practice • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Divya Gade is a registered healthcare professional specializing in Dentist - General Practice in Bloomington, IL. Practice services are available at 1407 N VETERANS PKWY STE 12 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1407 N Veterans Pkwy Ste 12

Bloomington, IL 617046425

Telephone 3092333922

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Bloomington, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019033285

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1265744189

Doctor of Dental Surgery

Izaz Shaik

Dentist

NPI 1326777665
NPI 1962131201

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 10, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2021

Registered at 1407 N VETERANS PKWY STE 12, BLOOMINGTON, IL 617046425 (Tel: 3092333922)

📍
Updated Business Mailing Address July 10, 2021

Registered at 1407 N VETERANS PKWY STE 12, BLOOMINGTON, IL 617046425 (Tel: 3092333922)

👤
Provider Name / Credentials Updated July 10, 2021

Recorded as DIVYA GADE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2021

Dentist (License #019033285 in IL)

🟢
Initial NPI Registration & Enumeration June 29, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093385312
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2021
Last Update: July 10, 2021
Sole Proprietor: No

Mailing Address

1407 N Veterans Pkwy Ste 12

Bloomington, IL 617046425

Phone: 3092333922

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.