Individual provider Active NPI

Parth Patel, DMD

  • General Practice Dentistry
  • Hammond, IN
National Provider Identifier
1235659723
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.031229 Issued in IL
Practice address
1738 165TH St
Hammond, IN 46320-2821
Phone
(219) 844-8000
NPI assigned
Jun 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12012791A IN
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019.031229 IL Primary

Addresses

Primary practice location

1738 165TH St
Hammond, IN 46320-2821

Mailing address

18175 Goesel Dr
Tinley Park, IL 60487-8668
Phone (708) 381-9652

Other practice location 1

16739 Torrence Ave,
Lansing, IL 60438
Phone (708) 381-9652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20171026000937 IN Order and Referring Only - DentistPractitioner - Dentist 4183990765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.031229ILMDGeneral Practice Dentistry
12012791AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kiansh Dental LLC General Practice CurrentSince Jul 13, 2025 Accepting new patients
32 Pearls Dental Inc General Practice Current Accepting new patients
S&P Dental LLC General Practice CurrentSince Nov 17, 2019 Accepting new patients
Pro Dental in 1 PC General Practice PastSince Sep 23, 2024 Accepting new patients

Locations

2319 S Cicero Ave
Cicero, IL 60804
Phone (708) 222-8995

19558 S Harlem Ave
Ste 1
Frankfort, IL 60423
Phone (708) 226-6700

9017 W 151st St
Orland Park, IL 60462
Phone (708) 226-6700

Organizations & group practices 4

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1235659723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18175 GOESEL DR",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604878668",
            "telephone_number": "708-381-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 165TH ST",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202821",
            "telephone_number": "219-844-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16739 Torrence Ave,",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "IL",
            "postal_code": "60438",
            "country_code": "US",
            "telephone_number": "708-381-9652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PARTH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012791A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

Verify at the official NPI Registry.