HBP Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027323 Issued in IL

Legal business name

HBP DENTAL PC

Doing business as

West Chicago Dental Works

Practice address

440 E Roosevelt Rd
Suite 112
West Chicago, IL 60185-3918

Phone

(847) 909-0703

NPI assigned

Jun 6, 2012

Last updated

Jun 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hetal B Patel, DDS

Title

President

Phone

(847) 909-0703

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Chicago Dental Works Doing business as

Locations

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1750642609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E ROOSEVELT RD",
            "address_2": "SUITE 112",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601853918",
            "telephone_number": "847-909-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E ROOSEVELT RD",
            "address_2": "SUITE 112",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601853918",
            "telephone_number": "847-909-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HBP DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HETAL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-909-0703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019027323",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Chicago Dental Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in West Chicago, IL
• Providers in West Chicago, 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 Jun 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.