Organization Active NPI

Patel&Patel D.D.S LTD

  • General Practice Dentistry
  • Joliet, IL
National Provider Identifier
1639486053
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19 15897 Issued in IL
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

Updated by the provider on Sep 7, 2010

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.