NPIMap

Organization Active NPI

Crystal R. Patel, D.D.S, PC

  • Dentist
  • Chicago, IL
National Provider Identifier
1336492115
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019028316 Issued in IL
Legal business name
CRYSTAL R. PATEL, D.D.S, PC
Practice address
33 N Dearborn St
Suite 2400
Chicago, IL 60602-3102
Phone
(630) 935-0857
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Dr. Crystal R Patel, DDSNPI 1528389533
Title
President
Phone
(630) 935-0857

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: 193400000X SINGLE SPECIALTY GROUP 122300000X 019028316 IL Primary

Addresses

Primary practice location

33 N Dearborn St
Suite 2400
Chicago, IL 60602-3102

Mailing address

1377 N Clover CT
Addison, IL 60101-5728
Phone (630) 935-0857

National Provider Directory

National Provider Directory

Locations

33 N Dearborn St
Ste 2400
Chicago, IL 60602
Phone (312) 368-6400

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": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1336492115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 N CLOVER CT",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015728",
            "telephone_number": "630-935-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N DEARBORN ST",
            "address_2": "SUITE 2400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023102",
            "telephone_number": "630-935-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL R. PATEL, D.D.S, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-935-0857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.