Chaitali Patel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.031270 Issued in IL

Practice address

904 Roosevelt Rd
Glen Ellyn, IL 60137-7829

Phone

(630) 469-4500

NPI assigned

Jul 31, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dean Dental Studio PC

  • General Practice Dentistry
  • Saint Charles, IL
  • NPI 1306724125
  NPD
• Baker Hill Dental PC

  • General Practice Dentistry
  • Glen Ellyn, IL
  • NPI 1720319072
  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1699299776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 LEEWARD LN",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601336172",
            "telephone_number": "630-373-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 ROOSEVELT RD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377829",
            "telephone_number": "630-469-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHAITALI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.031270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Blvd Dentistry
• Christine L Parratore, SLP
• Andrea Tiffany Parrott, CNP
• Jessica Marie Parzynski
• Ashruta J Patel, MD
• Hetal Patel
• Leena T Patel, M.D.
• Mihir Navinchandra Patel
• Jennifer K Paterakis, M.S L.C.P.C
• Pathway Therapy Services PLLC

• General Practice Dentistry in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; 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.