Active NPI
Uttamkumar R Patel, DDS
- Dentist
- Sterling, IL
National Provider Identifier
1851725899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.029619
- Practice address
- 4312 E Lincolnway
Suite a
Sterling, IL 61081-9793 - Phone
- (815) 625-7002
- Fax
- (815) 625-7848
- NPI assigned
- Aug 27, 2013
- Sex
- Male
- 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 | 019.029619 | IL | Primary |
Addresses
Primary practice location
4312 E Lincolnway
Suite a
Sterling, IL 61081-9793
Mailing address
603 Apple St
Dixon, IL 61021-1102
Phone (848) 565-4437
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 |
|---|---|---|---|
| 019.029619 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1851725899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 APPLE ST",
"city": "DIXON",
"state": "IL",
"postal_code": "610211102",
"telephone_number": "848-565-4437",
"fax_number": "815-625-7848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4312 E LINCOLNWAY",
"address_2": "SUITE A",
"city": "STERLING",
"state": "IL",
"postal_code": "610819793",
"telephone_number": "815-625-7002",
"fax_number": "815-625-7848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "UTTAMKUMAR",
"middle_name": "R",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-27",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.029619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.