NW Dentiq Center P.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019028407 Issued in IL

Legal business name

NW DENTIQ CENTER P.C

Practice address

425 N.Wilson Road
Round Lake, IL 60073

Phone

(847) 740-0217

NPI assigned

May 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kalpit Shah, DDS

Title

President

Phone

(847) 740-0217

Specialties & licenses 1

Addresses

Other names 1

• Round Lake Family Dentistry Doing business as

Tax ID family

Northwest Dentiq Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Dentiq Center P.C.

  • Dentist
  • Pingree Grove, IL
  • NPI 1073900411
  NPD tax ID

Locations

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1609134378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N.WILSON ROAD",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "60073",
            "telephone_number": "847-740-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N.WILSON ROAD",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "60073",
            "telephone_number": "847-740-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW DENTIQ CENTER P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KALPIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-740-0217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Round Lake Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicasa
• Nicasa NFP
• Nikogosian Vision Care
• Jimmy N Nkutu
• Michele Rose Norris, M.A., CCC-SLP
• Tiffany M. O'Malley, M.ED.
• James Ogle
• Denise Victoria Pacifico Pajarillo, RPH
• Kassandra A Patankar, LCPC
• Shilpa K Patel, MS, CNS

• General Practice Dentistry in Round Lake, IL
• Providers in Round Lake, 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 May 1, 2012; 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.