Individual provider Active NPI

Neil P Parikh, DDS

  • Dentist
  • Chicago, IL
National Provider Identifier
1427344100
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
319.017653 Issued in IL
Practice address
5843 S Western Ave
Chicago, IL 60636
Phone
(773) 702-0660
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 319.017653 IL Primary

Addresses

Primary practice location

5843 S Western Ave
Chicago, IL 60636

Mailing address

5843 S Western Ave
Chicago, IL 60636-1526
Phone (773) 795-2260

Other practice location 1

1415 Emerald Ave
Chicago Heights, IL 60411-3517
Phone (312) 962-9999

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180523002920 IL Practitioner - Dentist 1759646631 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
319.017653ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Friend Family Health Center Inc Current Accepting new patients
Friend Family Health Center, Inc CurrentSince Apr 4, 2018 Accepting new patients
Friend Family Health Center Inc CurrentSince Apr 4, 2018 Accepting new patients
Sonrisa Dental PC on Archer Past Accepting new patients
Friend Family Health Center, Inc Past Accepting new patients

Locations

800 E 55th St
Chicago, IL 60615
Phone (773) 702-2193

5843 S Western Ave
Chicago, IL 60636
Phone (773) 434-8600

1522 E 63rd St
Chicago, IL 60637
Phone (773) 795-2260

6250 S Cottage Grove Ave
Chicago, IL 60637
Phone (312) 682-6110

Organizations & group practices 5

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1427344100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5843 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606361526",
            "telephone_number": "773-795-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5843 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60636",
            "telephone_number": "773-702-0660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Emerald Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago Heights",
            "state": "IL",
            "postal_code": "604113517",
            "country_code": "US",
            "telephone_number": "312-962-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "NEIL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "319.017653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.