Niravkumar Patel

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019029911 Issued in IL

Practice address

483 S Randall Rd
North Aurora, IL 60542-4011

Phone

(331) 308-0700

NPI assigned

Jul 9, 2014

Last updated

May 23, 2022By the provider in NPPES

Sex

Male

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Setu Dental PLLC

  • General Practice Dentistry
  • North Aurora, IL
  • NPI 1790415016
  NPD Authorized official
• Balaji LLC

  dba Finesse Dental Care

  • General Practice Dentistry
  • North Aurora, IL
  • NPI 1285289678
  NPD
• Familia Dental Mkemidtown LLC

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1982086955
  NPD (past)
• Familia Dental Mkemitchell LLC

  • Dental Clinic/Center
  • Milwaukee, WI
  • NPI 1609259266

  General Practice

  NPD (past)

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1700292893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 S RANDALL RD",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605424011",
            "telephone_number": "331-308-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 S RANDALL RD",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605424011",
            "telephone_number": "331-308-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRAVKUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bill M Park, O.D.
• Dean Moon Park, D.M.D.
• Lena G Park, O.D.
• Marycarol Park, LCPC
• Ankit Patel
• Patricia Zacharias LCPC LLC
• Pearl of North Aurora LLC
• Amanda Perzan, DC
• Deborah Jo Peterson, RN
• Physical Therapy Advantage, P.C.

• General Practice Dentistry in North Aurora, IL
• Providers in North Aurora, 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 May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.