Kajal Joshi, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

021002604 Issued in IL

Practice address

722 S President St
Wheaton, IL 60189

Phone

(630) 469-7696

NPI assigned

Mar 1, 2012

Last updated

Sep 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Kajal Bhavesh Patel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kyla Dental LTD

  dba DPD Smiles

  • Dental Clinic/Center
  • Wheaton, IL
  • NPI 1952849697
  NPD Authorized official

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1487928941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 S PRESIDENT ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601896606",
            "telephone_number": "630-469-7696",
            "fax_number": "630-469-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 S PRESIDENT ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60189",
            "telephone_number": "630-469-7696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 E Main St",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "60174",
            "country_code": "US",
            "telephone_number": "630-883-0856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "KAJAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2021-09-28",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS040633",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021002604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAJAL",
            "last_name": "PATEL",
            "middle_name": "BHAVESH",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Fritz Jordan, OD
• Richard Anthony Jorgensen, M.D.
• Kerri Josefek
• Bradford L Joseph, PTA
• Samantha H Joseph, LCSW
• Joshua Jouza
• Alec Joy, DMD
• Joyful Noise Speech Services LLC
• Danielle Lea Joynes, LCPC
• Dorota Jozwiak, PHARMD

• Pediatric Dentistry in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.