Jignesh Patel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019029977 Issued in IL

Practice address

2401 W US Highway 20 Ste 103
Pingree Grove, IL 60140-8819

Phone

(847) 462-4330

Fax

(847) 513-9457

NPI assigned

Jul 30, 2014

Last updated

Feb 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jigneshkumar Patel Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jigpiyu Dental LLC

  • Dentist
  • Pingree Grove, IL
  • NPI 1407720642
  NPD Authorized official
• Shiva Dental LLC

  • Dentist
  • Naperville, IL
  • NPI 1265306401
  NPD Authorized official

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1407264716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W US HIGHWAY 20 STE 103",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "601408819",
            "telephone_number": "847-462-4330",
            "fax_number": "847-513-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W US HIGHWAY 20 STE 103",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "601408819",
            "telephone_number": "847-462-4330",
            "fax_number": "847-513-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JIGNESH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIGNESHKUMAR",
            "last_name": "PATEL",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Northwest Dentiq Center P.C. (Pingree Smile Center)
• Nursetalk Mental Wellness LLC
• Kelly E O'Keefe, LCSW
• Kenneth A Orchard, M.D.
• Passionate Private Duty, LLC
• Brittany Peterman
• PF Development 5, LLC (CenterWell Home Health II)
• Emily Kate Rossman, ATC
• Madeline Saffle
• Isabel M Salcedo Cano

• General Practice Dentistry in Pingree Grove, IL
• Providers in Pingree Grove, 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 Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.