Palak Modi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.034202 Issued in IL

Practice address

2166 Plum Grove Rd
Rolling Meadows, IL 60008-1932

Phone

(224) 770-7234

NPI assigned

May 24, 2023

Last updated

May 24, 2023By the provider in NPPES

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

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1801588082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 N PALOS AVE",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600671841",
            "telephone_number": "224-770-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 PLUM GROVE RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081932",
            "telephone_number": "224-770-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "PALAK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.034202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela T Michelini, LCSW
• Kimberly Anne Miller, M.D.
• Magdalena Milonean, NP
• Mindflex Journey, PLLC
• Mobile Foot Doctors, Inc,
• Frank Moens, PT
• Liara Montesano, PSYD
• Roberto Carlos Montoya Barraza, MD
• Steven Donghun Moon
• Denisse Morales

• General Practice Dentistry in Rolling Meadows, IL
• Providers in Rolling Meadows, 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 24, 2023; 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.