Individual provider Active NPI

Minalben Kakadia, D.M.D.

  • Dentist
  • Romeoville, IL
National Provider Identifier
1235543257
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019030906 Issued in IL
Practice address
450 N Weber Rd
Romeoville, IL 60446-5355
Phone
(815) 372-1160
Fax
(815) 372-1162
NPI assigned
Jun 18, 2014
Last updated
Dec 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20675 FL
Dentist 122300000X 019030906 IL Primary

Addresses

Primary practice location

450 N Weber Rd
Romeoville, IL 60446-5355

Mailing address

341 Gavin CT
West Chicago, IL 60185-5058

Other names 1

  • Dr. Minalben Patel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111001061 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1557663382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN20675FLMDDentist
019030906ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Carillon Family Dental Group, PC Dentist PastSince Dec 29, 2019 Accepting new patients

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1235543257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 GAVIN CT",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601855058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N WEBER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465355",
            "telephone_number": "815-372-1160",
            "fax_number": "815-372-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKADIA",
        "first_name": "MINALBEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20675",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINALBEN",
            "last_name": "PATEL",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Romeoville, IL

Sources for this page

Verify at the official NPI Registry.