Smita B Patel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019022623 Issued in IL

Practice address

9663 Franklin Ave
Franklin Park, IL 60131-2719

Phone

(847) 455-4750

Fax

(847) 455-7805

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smita B Patel DDS

  • Dental Clinic/Center
  • Franklin Park, IL
  • NPI 1619001708
  NPD (past) Authorized official
• Bhupendra R. Patel MD SC

  • Primary Care Clinic/Center
  • Franklin Park, IL
  • NPI 1992839062
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1023142106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 FRANKLIN AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312719",
            "telephone_number": "847-455-4750",
            "fax_number": "847-455-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9663 FRANKLIN AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312719",
            "telephone_number": "847-455-4750",
            "fax_number": "847-455-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SMITA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019022623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "019022623",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April C Paladino, PHARMD
• Mitchell Deon Parker
• Elisabeth Pasquini, PHARMD
• Bhupendra R Patel, M.D.
• Keith Patel, D.M.D.
• Patricia Keating
• Yvonne Perez-Agosto
• Dafne Perez-Quinn, BCBA
• Nicolette Isabelle Petkovic
• Alan Philip

• General Practice Dentistry in Franklin Park, IL
• Providers in Franklin Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.