Individual provider Active NPI

Umang Patel, D.D.S.

  • Dentist
  • Romeoville, IL
National Provider Identifier
1396951265
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.025420 Issued in IL
Practice address
638 N Independence Blvd
Romeoville, IL 60446-1374
Phone
(815) 886-0875
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.025420 IL Primary

Addresses

Primary practice location

638 N Independence Blvd
Romeoville, IL 60446-1374

Mailing address

638 N Independence Blvd
Romeoville, IL 60446-1374
Phone (815) 886-0875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.025420ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Usp Clinical GPS PLLC CurrentSince May 11, 2025 Accepting new patients
Usp Dental Associates PC Dentist Past Accepting new patients
Townhall Dental Associates Dentist Past Accepting new patients

Locations

638 N Independence Blvd
Romeoville, IL 60446
Phone (815) 886-0875

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1396951265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 N INDEPENDENCE BLVD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461374",
            "telephone_number": "815-886-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 N INDEPENDENCE BLVD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461374",
            "telephone_number": "815-886-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "UMANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.025420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.