Active NPI
Amitkumar Pravinkumar Patel, DMD
- Dentist
- Oak Brook, IL
National Provider Identifier
1144582370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019029128
- Practice address
- 2 Oakbrook Center Mall
Oak Brook, IL 60523-1810 - Phone
- (201) 920-6233
- NPI assigned
- Jun 13, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 019029128 | IL | Primary |
Addresses
Primary practice location
2 Oakbrook Center Mall
Oak Brook, IL 60523-1810
Mailing address
372 Windsong Cir
Glendale Heights, IL 60139-4500
Phone (201) 920-6233
Other names 1
- Amit Pravinbhai Patel
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160531001326 | IL | Order and Referring Only - Dentist | 6800186099 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Dental Care LLC | 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.
-
- General Practice Dentistry
- Schaumburg, IL
- NPI 1467957001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1144582370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 WINDSONG CIR",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601394500",
"telephone_number": "201-920-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 OAKBROOK CENTER MALL",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231810",
"telephone_number": "201-920-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "AMITKUMAR",
"middle_name": "PRAVINKUMAR",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-13",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMIT",
"last_name": "PATEL",
"middle_name": "PRAVINBHAI",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.