NPIMap

Individual provider Active NPI

Neel Gagan Goyal, DMD

  • Dentist
  • Darien, IL
National Provider Identifier
1053979716
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019032101 Issued in IL
Practice address
7702 Cass Ave Ste 210
Darien, IL 60561-5109
Phone
(630) 810-0444
NPI assigned
May 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019032101 IL Primary

Addresses

Primary practice location

7702 Cass Ave Ste 210
Darien, IL 60561-5109

Mailing address

685 Jamison LN
Hoffman Estates, IL 60169-4128
Phone (847) 431-3012

Other practice location 1

11 W Downer Pl
Aurora, IL 60506-5134
Phone (630) 892-4000

Other practice location 2

825 Plainfield Rd
Joliet, IL 60435-5900
Phone (815) 726-6000

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

LicenseStateTypeSpecialty
019032101ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Dental PLLC CurrentSince Mar 27, 2022 Accepting new patients
Krishan Dental Limited Past Accepting new patients
Krishan Dental Limited Dentist Past Accepting new patients

Locations

7702 Cass Ave
Ste 210
Darien, IL 60561
Phone (630) 810-0444

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1053979716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 JAMISON LN",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601694128",
            "telephone_number": "847-431-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 CASS AVE STE 210",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615109",
            "telephone_number": "630-810-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 W Downer Pl",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605065134",
            "country_code": "US",
            "telephone_number": "630-892-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Plainfield Rd",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604355900",
            "country_code": "US",
            "telephone_number": "815-726-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "NEEL",
        "middle_name": "GAGAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019032101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.