NPIMap

Organization Active NPI

M.R.Adatia, DDS PC

  • Dental Clinic/Center
  • Aurora, IL
National Provider Identifier
1457521973
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
M.R.ADATIA, DDS PC
Practice address
359 N Farnsworth Ave
Aurora, IL 60505-3082
Phone
(630) 898-0405
Fax
(847) 220-9218
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Dr. Mayank R Adatia, D.D.SNPI 1023280229
Title
President
Phone
(847) 769-4132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 019017350 IL
Dental Clinic/Center 261QD0000X IL Primary

Addresses

Primary practice location

359 N Farnsworth Ave
Aurora, IL 60505-3082

Mailing address

1013 Sheppey CT
Naperville, IL 60565-6109
Phone (630) 355-1620

Other names 1

  • A-1 Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A-1 Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

359 N Farnsworth Ave
Aurora, IL 60505
Phone (630) 898-0405

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1457521973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 SHEPPEY CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605656109",
            "telephone_number": "630-355-1620",
            "fax_number": "847-220-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 N FARNSWORTH AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605053082",
            "telephone_number": "630-898-0405",
            "fax_number": "847-220-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.R.ADATIA, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "ADATIA",
        "authorized_official_first_name": "MAYANK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-769-4132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019017350",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A-1 Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.