Active NPI
Patricia Nihill, D.M.D., M.S.
- General Practice Dentistry
- Wheaton, IL
National Provider Identifier
1003018995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019018298
- Practice address
- 949 W Liberty Dr
Wheaton, IL 60187-4846 - Phone
- (630) 715-2821
- NPI assigned
- Jun 3, 2007
- Last updated
- Feb 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100044080 | Medicaid | KY |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 019018298 | IL | MD | General Practice Dentistry |
| DS 00870 | MO | MD | Prosthodontist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.