Individual provider Active NPI

Patricia Nihill, D.M.D., M.S.

  • General Practice Dentistry
  • Wheaton, IL
National Provider Identifier
1003018995
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019018298 Issued in IL
Practice address
949 W Liberty Dr
Wheaton, IL 60187-4846
Phone
(630) 715-2821
NPI assigned
Jun 3, 2007
Last updated
Feb 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8537 KY
General Practice Dentistry 1223G0001X 019018298 IL Primary
General Practice Dentistry 1223G0001X 8537 KY
Prosthodontics 1223P0700X DS 00870 MO

Addresses

Primary practice location

949 W Liberty Dr
Wheaton, IL 60187-4846

Mailing address

0N622 Bowdish Dr
Geneva, IL 60134-3560
Phone (630) 715-2821

Other identifiers 1

IdentifierTypeStateIssuer
7100044080MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 9, 2017 through Feb 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019018298ILMDGeneral Practice Dentistry
DS 00870MOMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1003018995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0N622 BOWDISH DR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343560",
            "telephone_number": "630-715-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 W LIBERTY DR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874846",
            "telephone_number": "630-715-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIHILL",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-03",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8537",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018298",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8537",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MO",
            "license": "DS 00870",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100044080",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.