NPIMap

Organization Active NPI

Usp Dental Associates PC

  • Dentist
  • Romeoville, IL
National Provider Identifier
1205207859
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019025420 Issued in IL
Legal business name
USP DENTAL ASSOCIATES PC
Practice address
620 Townhall Dr
Romeoville, IL 60446-1338
Phone
(815) 886-0875
Fax
(815) 886-0075
NPI assigned
Oct 8, 2015
Last updated
Oct 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Dr. Umang Patel, D.O.NPI 1396951265
Title
Doctor
Phone
(815) 886-0875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019025420 IL Primary

Addresses

Primary practice location

620 Townhall Dr
Romeoville, IL 60446-1338

Mailing address

620 Townhall Dr
Romeoville, IL 60446-1338
Phone (815) 886-0875

National Provider Directory

National Provider Directory

Locations

620 Townhall Dr
Romeoville, IL 60446
Phone (815) 886-0875

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1205207859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 TOWNHALL DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461338",
            "telephone_number": "815-886-0875",
            "fax_number": "815-886-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 TOWNHALL DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461338",
            "telephone_number": "815-886-0875",
            "fax_number": "815-886-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USP DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "UMANG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "815-886-0875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.