Active NPI
Pareshkumar Patel
- Dentist
- Saint Charles, IL
National Provider Identifier
1164318564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS111567
- Practice address
- 217 Sunbury Dr
Saint Charles, IL 60175-4642 - Phone
- (189) 074-5905
- NPI assigned
- Jun 13, 2025
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS111567 | CA | |
| Dentist | 122300000X | DDS111567 | CA | Primary |
Addresses
Primary practice location
217 Sunbury Dr
Saint Charles, IL 60175-4642
Mailing address
217 Sunbury Dr
Saint Charles, IL 60175-4642
Phone (189) 074-5905
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 |
|---|---|---|---|
| DDS111567 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1164318564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 SUNBURY DR",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601754642",
"telephone_number": "189-074-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 SUNBURY DR",
"city": "SAINT CHARLES",
"state": "IL",
"postal_code": "601754642",
"telephone_number": "189-074-5905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PARESHKUMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-13",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS111567",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS111567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.