Active NPI
Patel&Patel D.D.S LTD
- General Practice Dentistry
- Joliet, IL
National Provider Identifier
1639486053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19 15897
- Legal business name
- PATEL&PATEL D.D.S LTD
- Practice address
- 1507 1/2 W Jefferson St
Joliet, IL 60435-6765 - Phone
- (815) 744-7453
- NPI assigned
- Sep 7, 2010
- 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
- Alpa Patel
- Title
- Owner
- Phone
- (815) 744-7453
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19 15897 | IL | Primary |
Addresses
Primary practice location
1507 1/2 W Jefferson St
Joliet, IL 60435-6765
Mailing address
1507 1/2 W Jefferson St
Joliet, IL 60435-6765
Phone (815) 744-7453
National Provider Directory
National Provider DirectoryLocations
1507 W Jefferson St
#1-2
Joliet, IL 60435
Phone (815) 744-7453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283817600000",
"number": "1639486053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 1/2 W JEFFERSON ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356765",
"telephone_number": "815-744-7453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 1/2 W JEFFERSON ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356765",
"telephone_number": "815-744-7453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATEL&PATEL D.D.S LTD",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-07",
"last_updated": "2010-09-07",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "ALPA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-744-7453"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "19 15897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.