Sejal G. Patel, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-027620 Issued in IL

Legal business name

SEJAL G. PATEL, D.D.S., P.C.

Practice address

1502 Sycamore Rd
Dekalb, IL 60115-2032

Phone

(815) 758-4797

Fax

(815) 758-0561

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sejal Girish Patel, D.D.S.

Title

President

Phone

(847) 445-4772

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Frederick D Peltz, DDS

  • General Practice Dentistry
  • Dekalb, IL
  • NPI 1700893542
  NPD (past)

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1497130546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152032",
            "telephone_number": "815-758-4797",
            "fax_number": "815-758-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152032",
            "telephone_number": "815-758-4797",
            "fax_number": "815-758-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEJAL G. PATEL, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SEJAL",
        "authorized_official_middle_name": "GIRISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-445-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-027620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Scrutchens
• Lacy Devon Searcy
• Gregory Jon Seehusen
• Darlene Seilheimer
• Jessica Seipp, B.A.
• Daniel Senderak, DDS
• Stephanie Severing, MSW
• Petro Shafranyuk, MD
• Milap Shah, DO
• Riddhi Rupesh Shah, M.D.

• General Practice Dentistry in Dekalb, IL
• Providers in Dekalb, 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 29, 2015; 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.