Individual provider Active NPI

Megh Patel

  • General Practice Dentistry
  • Oak Park, IL
National Provider Identifier
1790247336
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.032112 Issued in IL
Practice address
137 N Oak Park Ave
Oak Park, IL 60301-1344
Phone
(708) 350-9142
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 019.032112 IL Primary

Addresses

Primary practice location

137 N Oak Park Ave
Oak Park, IL 60301-1344

Mailing address

454 N 6TH Ave
Addison, IL 60101-2407
Phone (630) 276-6426

Other practice location 1

24402 W Lockport St Ste 200
Plainfield, IL 60544-4218
Phone (815) 577-0700

Other practice location 2

1726 W 18th St
Chicago, IL 60608-3994
Phone (312) 733-7454

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

LicenseStateTypeSpecialty
019.032112ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Salih Dental Center Past Accepting new patients
Dekamore Dental P.C. General Practice PastSince Jul 1, 2020 Accepting new patients
Hussain S Ali DDS LLC Past Accepting new patients
James Skylar O'Brien, DDS, LLC PastSince Jun 16, 2024 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1790247336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 N 6TH AVE",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012407",
            "telephone_number": "630-276-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011344",
            "telephone_number": "708-350-9142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24402 W Lockport St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605444218",
            "country_code": "US",
            "telephone_number": "815-577-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1726 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606083994",
            "country_code": "US",
            "telephone_number": "312-733-7454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MEGH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2021-12-29",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.