Individual provider Active NPI

Dhara Patel, D.D.S

  • Prosthodontics
  • Bartlett, IL
National Provider Identifier
1174937833
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
019.029287 Issued in IL
Practice address
106 W Bartlett Ave
Bartlett, IL 60103-7880
Phone
(630) 830-4930
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 019.029287 IL Primary

Addresses

Primary practice location

106 W Bartlett Ave
Bartlett, IL 60103-7880

Mailing address

106 W Bartlett Ave
Bartlett, IL 60103-7880
Phone (630) 830-4930

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

LicenseStateTypeSpecialty
019.029287ILMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
HD Dental LLC CurrentSince Jan 12, 2020 Accepting new patients

Locations

2505 W Golf Rd
Hoffman Estates, IL 60169
Phone (847) 641-5183

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.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1174937833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W BARTLETT AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601037880",
            "telephone_number": "630-830-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W BARTLETT AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601037880",
            "telephone_number": "630-830-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHARA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "019.029287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.