Organization Active NPI

Shiva Dental LLC

  • Dentist
  • Naperville, IL
National Provider Identifier
1265306401
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SHIVA DENTAL LLC
Practice address
1250 N Mill St Ste 104
Naperville, IL 60563-6305
Phone
(630) 355-7400
NPI assigned
Oct 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Jignesh Patel, DDSNPI 1407264716
Title
Owner
Phone
(516) 606-7194

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: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1250 N Mill St Ste 104
Naperville, IL 60563-6305

Mailing address

1250 N Mill St Ste 104
Naperville, IL 60563-6305
Phone (630) 355-7400

National Provider Directory

National Provider Directory

Locations

1250 N Mill St
Ste 104
Naperville, IL 60563
Phone (630) 355-7400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1265306401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 N MILL ST STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636305",
            "telephone_number": "630-355-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 N MILL ST STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605636305",
            "telephone_number": "630-355-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-606-7194",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.