Individual provider Active NPI

Vilpa R Patel, D.D.S

  • General Practice Dentistry
  • Algonquin, IL
National Provider Identifier
1063674737
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-027162 Issued in IL
Practice address
10404 S Il Route 31
Unit C
Algonquin, IL 60102-1606
Phone
(224) 678-9279
Fax
(224) 678-9393
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-027162 IL Primary

Addresses

Primary practice location

10404 S Il Route 31
Unit C
Algonquin, IL 60102-1606

Mailing address

10404 S Il Route 31
Unit C
Algonquin, IL 60102-1606
Phone (224) 678-9279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160225002397 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3678878873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-027162ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Dental Care General Practice Past Accepting new patients

Organizations & group practices 1

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1063674737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10404 S IL ROUTE 31",
            "address_2": "UNIT C",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601021606",
            "telephone_number": "224-678-9279",
            "fax_number": "224-678-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10404 S IL ROUTE 31",
            "address_2": "UNIT C",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601021606",
            "telephone_number": "224-678-9279",
            "fax_number": "224-678-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VILPA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-027162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

Verify at the official NPI Registry.