Pranav Vinod Patel

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

21001898 Issued in IL

Practice address

1112 S Washington St Ste 210
Naperville, IL 60540-7964

Phone

(630) 961-3810

Fax

(630) 961-2466

NPI assigned

Dec 19, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Prestige Orthodontic

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Naperville, IL
  • NPI 1659586170
  NPD (past) Authorized official
• Myorthos Illinois Orthodontics PC

  dba Pasha Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Aurora, IL
  • NPI 1780452003
  NPD (past)
• Myorthos Illinois Orthodontics PC

  dba Pasha Orthodontics Naperville

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boston, MA
  • NPI 1740919000
  NPD (past)

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1861908444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S WASHINGTON ST STE 210",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407964",
            "telephone_number": "630-961-3810",
            "fax_number": "630-961-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S WASHINGTON ST STE 210",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407964",
            "telephone_number": "630-961-3810",
            "fax_number": "630-961-2466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4827 S Route 59 Ste 115",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605648318",
            "country_code": "US",
            "telephone_number": "630-527-6000",
            "fax_number": "630-527-6127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "452 N Eola Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605029110",
            "country_code": "US",
            "telephone_number": "630-820-1200",
            "fax_number": "630-820-1206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRANAV",
        "middle_name": "VINOD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "21001898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pappu Patel, M.P.T.
• Paresh Patel, PHARM D
• Pinal Patel, D.D.S
• Pinal P Patel, SONOGRAPHER
• Poojan Nilesh Patel, PA-C
• Pravina B Patel, DR
• Priya H Patel, NP
• Priyesh J Patel
• Rahee Virendra Patel, PT, DPT
• Rajul Mukund Patel, DO

• Orthodontics and Dentofacial Orthopedics Dentistry in Naperville, IL
• Providers in Naperville, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.