NPIMap

Organization Active NPI

Smita B Patel DDS

  • Dental Clinic/Center
  • Franklin Park, IL
National Provider Identifier
1619001708
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019022623 Issued in IL
Legal business name
SMITA B PATEL DDS
Practice address
9663 Franklin Ave
Franklin Park, IL 60131-2719
Phone
(847) 455-4750
Fax
(847) 455-7805
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Dr. Smita B Patel, D.D.S.NPI 1023142106
Title
President
Phone
(847) 455-4750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019022623 IL Primary

Addresses

Primary practice location

9663 Franklin Ave
Franklin Park, IL 60131-2719

Mailing address

9663 Franklin Ave
Franklin Park, IL 60131-2719
Phone (847) 455-4750

Other identifiers 1

IdentifierTypeStateIssuer
019022623OtherILSTATE LICENCE

National Provider Directory

National Provider Directory

Locations

9663 Franklin Ave
Franklin Park, IL 60131
Phone (847) 455-4701

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1619001708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 FRANKLIN AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312719",
            "telephone_number": "847-455-4750",
            "fax_number": "847-455-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9663 FRANKLIN AVE",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312719",
            "telephone_number": "847-455-4750",
            "fax_number": "847-455-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITA B PATEL DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SMITA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-455-4750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019022623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "019022623",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.