Active NPI
Mayank R Adatia, D.D.S.
- Dentist
- Aurora, IL
National Provider Identifier
1023280229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 853 N Highland Ave
Suite C
Aurora, IL 60506-2217 - Phone
- (630) 844-3368
- Fax
- (630) 844-2873
- NPI assigned
- Mar 27, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
853 N Highland Ave
Suite C
Aurora, IL 60506-2217
Mailing address
1013 Sheppey CT
Naperville, IL 60565-6109
Phone (847) 769-4132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019017342 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M.R.Adatia, DDS PC | Dentist | Past | Accepting new patients |
| M. R. Adatia DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Aurora, IL
- NPI 1215335054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1023280229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 SHEPPEY CT",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605656109",
"telephone_number": "847-769-4132",
"fax_number": "847-310-6796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 N HIGHLAND AVE",
"address_2": "SUITE C",
"city": "AURORA",
"state": "IL",
"postal_code": "605062217",
"telephone_number": "630-844-3368",
"fax_number": "630-844-2873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADATIA",
"first_name": "MAYANK",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.