Active NPI
Rinkle Satishkumar Goyal
- Dentist
- Plainfield, IL
National Provider Identifier
1568978013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019031472
- Practice address
- 13321 Blakely Dr
Plainfield, IL 60585-2779 - Phone
- (857) 800-3209
- NPI assigned
- Dec 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019031472 | IL | Primary |
Addresses
Primary practice location
13321 Blakely Dr
Plainfield, IL 60585-2779
Mailing address
13321 Blakely Dr
Plainfield, IL 60585-2779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J4394927 | Other | PASSPORT NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019031472 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1568978013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13321 BLAKELY DR",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605852779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13321 BLAKELY DR",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605852779",
"telephone_number": "857-800-3209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOYAL",
"first_name": "RINKLE",
"middle_name": "SATISHKUMAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-20",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019031472",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT NUMBER",
"identifier": "J4394927",
"state": null
}
],
"endpoints": [],
"other_names": []
}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 Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.