NPIMap

Organization Active NPI

Star Dental P.C.

  • General Practice Dentistry
  • Hanover Park, IL
National Provider Identifier
1669721502
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.026893 Issued in IL
Legal business name
STAR DENTAL P.C.
Practice address
6602 Barrington Rd
Suit G
Hanover Park, IL 60133-3900
Phone
(630) 550-6694
NPI assigned
Sep 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Dr. Dhyanvi G PatelNPI 1861599789
Title
Dentist
Phone
(630) 550-6694

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019.026893 IL Primary

Addresses

Primary practice location

6602 Barrington Rd
Suit G
Hanover Park, IL 60133-3900

Mailing address

688 Biltmore Dr
Bartlett, IL 60103-2326

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1669721502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 BILTMORE DR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601032326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 BARRINGTON RD",
            "address_2": "SUIT G",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601333900",
            "telephone_number": "630-550-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHYANVI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-550-6694",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.026893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.