Active NPI
Ulka A Patel, DMD
- Dentist
- Rockford, IL
National Provider Identifier
1740773910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.031692
- Practice address
- 1301 N Alpine Rd
Rockford, IL 61107-2262 - Phone
- (815) 231-7017
- NPI assigned
- Jun 12, 2018
- Last updated
- Jun 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.031692 | IL | Primary |
Addresses
Primary practice location
1301 N Alpine Rd
Rockford, IL 61107-2262
Mailing address
1043 Geneva Dr
Geneva, IL 60134-3419
Phone (630) 809-9226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.031692 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentique Smiles PC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Batavia, IL
- NPI 1518849967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1740773910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1043 GENEVA DR",
"city": "GENEVA",
"state": "IL",
"postal_code": "601343419",
"telephone_number": "630-809-9226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 N ALPINE RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611072262",
"telephone_number": "815-231-7017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "ULKA",
"middle_name": "A",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.031692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.