Rajul Patel PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027791 Issued in IL

Legal business name

RAJUL PATEL PC

Practice address

107 W Lake St Suite 101
Bloomingdale, IL 60108

Phone

(630) 307-3133

Fax

(630) 307-3134

NPI assigned

Jul 28, 2010

Organization subpart

No

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

Authorized official

Name

Rajul Patel, DDS

Title

Dentist/Owner

Phone

(630) 307-3133

Specialties & licenses 1

Addresses

Other names 1

• Pure Dental Spa Doing business as

Locations

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1427362771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W LAKE ST SUITE 101",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-307-3133",
            "fax_number": "630-307-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W LAKE ST SUITE 101",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-307-3133",
            "fax_number": "630-307-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJUL PATEL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJUL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "630-307-3133",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pulse Med LLC
• Brett Quinto, DMD
• Kristel M Quon, DPT
• Bilal Qureshi
• Vanessa Radosza, RBT-18-51940
• Erika Raley
• Alejandro Jose Ramirez, O.D.
• Anne Kellstedt Ramirez, MS LCPC
• Mary Jane Randall, PTA
• Salvatore Reda, MD

• General Practice Dentistry in Bloomingdale, IL
• Providers in Bloomingdale, 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 Dec 21, 2022; 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.