Shaivalkumar Patel DDS P.C

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHAIVALKUMAR PATEL DDS P.C

Practice address

9052 W Golf Rd
Niles, IL 60714-5805

Phone

(847) 297-4815

NPI assigned

Nov 7, 2019

Organization subpart

No

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

Authorized official

Name

Shaivalkumar PatelNPI 1619237708

Title

President

Phone

(805) 341-4472

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaivalkumar S. Patel, D.D.S

  • Dentist
  • Rhinelander, WI
  • NPI 1619237708
  NPD Authorized official
• Marina Borochin, DDS

  • General Practice Dentistry
  • Niles, IL
  • NPI 1649234683
  NPD (past)
• Nadia Chernyavskaya, DMD

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1336397611
  NPD (past)
• Aakash Shah, D.D.S.

  • General Practice Dentistry
  • Farmington Hills, MI
  • NPI 1811338676
  NPD (past)

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1124663737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 SOUTHGATE RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601032061",
            "telephone_number": "805-341-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9052 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145805",
            "telephone_number": "847-297-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAIVALKUMAR PATEL DDS P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHAIVALKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-341-4472"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Home Healthcare LLC - Series a
• Madeline Sesselmann, DO
• Seung Eun Baik, D.D.S., P.C.
• Priya Ilesh Shah, DDS
• Ushma Shah, DO
• Marina Shepelenko, O.D.
• Susan Leeds Sherman, M.S.
• Valery Shternberg
• Sibel Health
• Leonard B Siedband, M.D.

• Dental Clinic/Center in Niles, IL
• Providers in Niles, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.