Active NPI
Ankit Patel
- Dentist
- North Aurora, IL
National Provider Identifier
1093372021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019032075
- Practice address
- 100 N Lincolnway Ste Uppr
North Aurora, IL 60542-1150 - Phone
- (630) 896-3939
- NPI assigned
- May 24, 2019
- 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 | 019032075 | IL | Primary |
Addresses
Primary practice location
100 N Lincolnway Ste Uppr
North Aurora, IL 60542-1150
Mailing address
100 N Lincolnway Ste Uppr
North Aurora, IL 60542-1150
Phone (630) 896-3939
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 |
|---|---|---|---|
| 019032075 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1093372021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N LINCOLNWAY STE UPPR",
"city": "NORTH AURORA",
"state": "IL",
"postal_code": "605421150",
"telephone_number": "630-896-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N LINCOLNWAY STE UPPR",
"city": "NORTH AURORA",
"state": "IL",
"postal_code": "605421150",
"telephone_number": "630-896-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ANKIT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-24",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019032075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.