Dhwani Ankur Patel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.034363 Issued in IL

Practice address

195 S Main St
Dupo, IL 62239-1347

Phone

(681) 286-4400

NPI assigned

Apr 21, 2023

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2023.

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1134816994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7037 MILLBROOK LN",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "62269",
            "telephone_number": "314-498-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S MAIN ST",
            "city": "DUPO",
            "state": "IL",
            "postal_code": "622391347",
            "telephone_number": "681-286-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHWANI",
        "middle_name": "ANKUR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.034363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Whelan LLC
• John Norman Kimmich, DDS
• Ken Kloess, D.M.D.
• Jennifer R Lane
• Meghan Mercado, CNM
• PC Associates, LLC
• Shannon Pritchett, MS CCC-SLP
• Southern Illinois Healthcare Foundation Inc
• Sarah M Tigo, M.S., CCC-SLP
• Akshay Vij, BDS

• All providers in Dupo, IL
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.