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

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 and National Provider Directory roles.

• Prestige Orthodontic

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Naperville, IL
  • NPI 1659586170

  Orthodontics and Dentofacial Orthopedics

  NPD (past) Authorized official
• Myorthos Illinois Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Aurora, IL
  • NPI 1780452003

  Orthodontics and Dentofacial Orthopedics

  NPD (past)
• Myorthos Illinois Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boston, MA
  • NPI 1740919000

  Orthodontics and Dentofacial Orthopedics

  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": "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"
        },
        {
            "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"
        }
    ],
    "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

• All providers in Naperville, IL
• 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.