Active NPI
Parth Patel, DMD
- General Practice Dentistry
- Hammond, IN
National Provider Identifier
1235659723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.031229
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12012791A | IN | |
| General Practice Dentistry | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171026000937 | IN | Order and Referring Only - Dentist | 4183990765 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.031229 | IL | MD | General Practice Dentistry |
| 12012791A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiansh Dental LLC | General Practice | Current | Accepting new patients |
| 32 Pearls Dental Inc | General Practice | Current | Accepting new patients |
| S&P Dental LLC | General Practice | Current | Accepting new patients |
| Pro Dental in 1 PC | General Practice | Past | 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.
-
- General Practice Dentistry
- Orland Park, IL
- NPI 1134631906
-
- General Practice Dentistry
- Frankfort, IL
- NPI 1194615385
-
- General Practice Dentistry
- Cicero, IL
- NPI 1720623812
-
- General Practice Dentistry
- Hammond, IN
- NPI 1316774698
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.