Active NPI
Jiten B Patel
- Endodontics
- Hinsdale, IL
National Provider Identifier
1457413650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Practice address
- 522 Chestnut Street
Suite Ga
Hinsdale, IL 60521 - Phone
- (630) 655-3636
- Fax
- (630) 655-3767
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | IL | Primary |
Addresses
Primary practice location
522 Chestnut Street
Suite Ga
Hinsdale, IL 60521
Mailing address
522 Chestnut Street
Suite Ga
Hinsdale, IL 60521
Phone (630) 655-3636
Other names 1
- Dr. Jiten B Patel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150924001950 | WA | Order and Referring Only - Other (Physician) | 0547578577 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021002139 | IL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457413650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 CHESTNUT STREET",
"address_2": "SUITE GA",
"city": "HINSDALE",
"state": "IL",
"postal_code": "60521",
"telephone_number": "630-655-3636",
"fax_number": "630-655-3767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 CHESTNUT STREET",
"address_2": "SUITE GA",
"city": "HINSDALE",
"state": "IL",
"postal_code": "60521",
"telephone_number": "630-655-3636",
"fax_number": "630-655-3767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JITEN",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JITEN",
"last_name": "PATEL",
"middle_name": "B",
"prefix": "DR.",
"credential": "DDS MS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.