Pujan Patel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.036301 Issued in IL

Practice address

5160 S Pulaski Rd Ste 102
Chicago, IL 60632-4253

Phone

(773) 219-2940

NPI assigned

Jul 15, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1457243545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16922 GLENMOOR DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481686511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 S PULASKI RD STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324253",
            "telephone_number": "773-219-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PUJAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.036301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyanka Patel
• Priyanka Patel, DMD
• Puja Patel, OD
• Puja Patel, PHARMD
• Puja S Patel
• Purva Umesh Patel, MD
• Purvi Patel
• Rachana Mukesh Patel, M.D.
• Radhika Patel, OD
• Radhika Patel, AGACNP-BC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Jul 15, 2025; 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.