Active NPI
Pranav Yogesh Patel, DDS
- Dentist
- Schaumburg, IL
National Provider Identifier
1174657274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019026243
- Practice address
- 319 S Barrington Rd
Schaumburg, IL 60193-5345 - Phone
- (847) 534-1100
- Fax
- (847) 534-0011
- NPI assigned
- Mar 14, 2007
- 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 | 019026243 | IL | Primary |
Addresses
Primary practice location
319 S Barrington Rd
Schaumburg, IL 60193-5345
Mailing address
319 S Barrington Rd
Schaumburg, IL 60193-5345
Phone (847) 534-1100
Other practice location 1
2707 Sycamore Rd
Dekalb, IL 60115-9201
Phone (815) 756-4430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9175756 | Medicaid | IL |
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 |
|---|---|---|---|
| 019026243 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Dental Care of Illinois, PC | Past | Accepting new patients | |
| Advanced Family Dental Care LLC | Past | Accepting new patients |
Organizations & group practices 2
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 1265622385
-
- General Practice Dentistry
- Dekalb, IL
- NPI 1801018197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1174657274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 S BARRINGTON RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601935345",
"telephone_number": "847-534-1100",
"fax_number": "847-534-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 S BARRINGTON RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601935345",
"telephone_number": "847-534-1100",
"fax_number": "847-534-0011"
}
],
"practiceLocations": [
{
"address_1": "2707 Sycamore Rd",
"address_purpose": "LOCATION",
"city": "Dekalb",
"state": "IL",
"postal_code": "601159201",
"country_code": "US",
"telephone_number": "815-756-4430",
"fax_number": "815-756-4350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "PRANAV",
"middle_name": "YOGESH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019026243",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9175756",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.