Palos Heights Dental Group, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

019027739 Issued in IL

Legal business name

PALOS HEIGHTS DENTAL GROUP, P.C.

Practice address

12130 S Harlem Ave
Palos Heights, IL 60463-1458

Phone

(708) 425-7474

NPI assigned

May 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Roshan P Parikh, DDS MBA

Title

President/Owner

Phone

(708) 425-7474

Specialties & licenses 1

Addresses

Tax ID family

Carillon Family Dental Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carillon Family Dental Group, PC

  • Dentist
  • Romeoville, IL
  • NPI 1467861856
  NPD tax ID

Locations

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1275945594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12130 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12130 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631458",
            "telephone_number": "708-425-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOS HEIGHTS DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "ROSHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "708-425-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MBA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palos Community Hospital
• Palos Community Hospital
• Palos Diagnostics SC
• Palos Emergency Medical Services, LTD
• Palos Family Dental LLC
• Palos Heights Fire Protection District
• Palos Heights Medical Center (shakir moiduddin)
• Palos Heights School District 128
• Palos Heights Sleep Center LTD
• Palos Hills Pharmacy, Inc. (Hills Drug Palos)

• Dentist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.