NPIMap

Organization Active NPI

Uday Phatak D.D.S. P.C.

  • Dental Clinic/Center
  • Prospect Heights, IL
National Provider Identifier
1457688897
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019018029 Issued in IL
Legal business name
UDAY PHATAK D.D.S. P.C.
Practice address
642A N Milwaukee Ave
Prospect Heights, IL 60070-2353
Phone
(847) 541-0008
Fax
(847) 541-0009
NPI assigned
Nov 5, 2009
Last updated
Nov 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Dr. Uday PhatakNPI 1316165160
Title
President
Phone
(847) 541-0008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019018029 IL Primary

Addresses

Primary practice location

642A N Milwaukee Ave
Prospect Heights, IL 60070-2353

Mailing address

642A N Milwaukee Ave
Prospect Heights, IL 60070-2353
Phone (847) 541-0008

National Provider Directory

National Provider Directory

Locations

642A N Milwaukee Ave
Prospect Heights, IL 60070
Phone (847) 541-0008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1457688897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642A N MILWAUKEE AVE",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600702353",
            "telephone_number": "847-541-0008",
            "fax_number": "847-541-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642A N MILWAUKEE AVE",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600702353",
            "telephone_number": "847-541-0008",
            "fax_number": "847-541-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UDAY PHATAK D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "PHATAK",
        "authorized_official_first_name": "UDAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-541-0008",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019018029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.