Organization Active NPI

Jashavanti LLC

  • General Practice Dentistry
  • Elgin, IL
National Provider Identifier
1285495580
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JASHAVANTI LLC
Practice address
104 Tyler Creek PLZ
Elgin, IL 60123-1784
Phone
(224) 642-4040
NPI assigned
Jan 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Dr. Harshil Patel, DMDNPI 1639693237
Title
Owner
Phone
(224) 642-4040

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

104 Tyler Creek PLZ
Elgin, IL 60123-1784

Mailing address

104 Tyler Creek PLZ
Elgin, IL 60123-1784
Phone (224) 642-4040

Other identifiers 1

IdentifierTypeStateIssuer
019031282OtherILDENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

104 Tyler Creek Plz
Elgin, IL 60123
Phone (847) 695-0464

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": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1285495580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TYLER CREEK PLZ",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231784",
            "telephone_number": "224-642-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TYLER CREEK PLZ",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231784",
            "telephone_number": "224-642-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASHAVANTI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARSHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-642-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "019031282",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.