Organization Active NPI

Hitesh K Patel DDS P C

  • General Practice Dentistry
  • Naperville, IL
National Provider Identifier
1649346594
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019019205 Issued in IL
Legal business name
HITESH K PATEL DDS P C
Practice address
1309 Macom Dr Ste 107
Naperville, IL 60564-3205
Phone
(630) 305-7914
Fax
(630) 305-7575
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Dr. Hitesh K Patel, DDS
Title
Owner
Phone
(630) 305-7914

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 019019205 IL
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 019019205 IL Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1309 Macom Dr Ste 107
Naperville, IL 60564-3205

Mailing address

1309 Macom Dr Ste 107
Naperville, IL 60564-3205
Phone (630) 305-7914

Other identifiers 1

IdentifierTypeStateIssuer
1649346594OtherILORGINIZATION NPI

National Provider Directory

National Provider Directory

Locations

1309 Macom Dr
Ste 107
Naperville, IL 60564
Phone (630) 305-7914

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1649346594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 MACOM DR STE 107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605643205",
            "telephone_number": "630-305-7914",
            "fax_number": "630-305-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 MACOM DR STE 107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605643205",
            "telephone_number": "630-305-7914",
            "fax_number": "630-305-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HITESH K PATEL DDS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HITESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-305-7914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019019205",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019019205",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGINIZATION NPI",
            "identifier": "1649346594",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.