Organization Active NPI

Agarwal & Patel, PC

Doing business as Todays Dental of Plainfield

  • General Practice Dentistry
  • Plainfield, IL
National Provider Identifier
1548545700
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025771 Issued in IL
Legal business name
AGARWAL & PATEL, PC
Doing business as
Todays Dental of Plainfield
Practice address
2111 S Route 59
Plainfield, IL 60586-4622
Phone
(815) 609-1110
Fax
(815) 609-0575
NPI assigned
Oct 19, 2011
Last updated
Oct 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Dr. Deepak Agarwal, DMD
Title
President
Phone
(815) 609-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019025771 IL Primary

Addresses

Primary practice location

2111 S Route 59
Plainfield, IL 60586-4622

Mailing address

2111 S Route 59
Plainfield, IL 60586-4622
Phone (815) 609-1110

Other identifiers 1

IdentifierTypeStateIssuer
8973362890MedicaidIL

Other names 1

  • Todays Dental of Plainfield Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1548545700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 S ROUTE 59",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605864622",
            "telephone_number": "815-609-1110",
            "fax_number": "815-609-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 S ROUTE 59",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605864622",
            "telephone_number": "815-609-1110",
            "fax_number": "815-609-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGARWAL & PATEL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-609-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8973362890",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Todays Dental of Plainfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.