Paraj Suryakant Patel, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019030270 Issued in IL

Practice address

604 Center Pkwy Ste B
Yorkville, IL 60560-1690

Phone

(201) 303-8996

NPI assigned

Jul 13, 2015

Last updated

Jul 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• PSP Dental Services PC

  dba Roots Dental Studio

  • Dental Clinic/Center
  • Oak Lawn, IL
  • NPI 1366930604
  NPD Authorized official

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1265816995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W WALNUT ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213233",
            "telephone_number": "201-303-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 CENTER PKWY STE B",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601690",
            "telephone_number": "201-303-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PARAJ",
        "middle_name": "SURYAKANT",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Michelle Ottenstein, L.M.T
• P2H Inc.
• Jeannine Marie Pacetti, LPC
• Sydne Pantaleon, MSW, LSW
• Deepak Shashikant Patel, MD
• Ravi Patel, PHARMD
• Paula Weihler SC (Premier Medical of Yorkville)
• Lauren Paver, M.S., CCC-SLP
• Erin Pearlman, LCSW
• Lorena Perez

• General Practice Dentistry in Yorkville, IL
• Providers in Yorkville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.