Active NPI
Agarwal & Patel, PC
Doing business as Todays Dental of Plainfield
- General Practice Dentistry
- Plainfield, IL
National Provider Identifier
1548545700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019025771
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8973362890 | Medicaid | IL |
Other names 1
- Todays Dental of Plainfield
National Provider Directory
National Provider DirectoryNPI 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.