Active NPI
Brijesh Patel, DMD
- General Practice Dentistry
- Schaumburg, IL
National Provider Identifier
1902257322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.030771
- Practice address
- 2 Woodfield Mall
Schaumburg, IL 60173-5012 - Phone
- (847) 619-0808
- Fax
- (216) 584-1009
- NPI assigned
- Jun 27, 2016
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.030771 | IL | Primary |
Addresses
Primary practice location
2 Woodfield Mall
Schaumburg, IL 60173-5012
Mailing address
764 E Thornwood Dr
South Elgin, IL 60177-3241
Phone (630) 656-2213
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 |
|---|---|---|---|
| 019.030771 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tesla Dentistry LLC | General Practice | Current | Accepting new patients |
| Performance Dental Care PC | General Practice | Past | Accepting new patients |
| Zarasmita DMD LLC | Past | Accepting new patients | |
| Performace Dental Care Il PC | Past | Accepting new patients | |
| Crystal Family Dental Care | General Practice | Past | Accepting new patients |
Organizations & group practices 5
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.
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- General Practice Dentistry
- Tinley Park, IL
- NPI 1942377908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1902257322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 E THORNWOOD DR",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "601773241",
"telephone_number": "630-656-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 WOODFIELD MALL",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735012",
"telephone_number": "847-619-0808",
"fax_number": "216-584-1009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "BRIJESH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-27",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.030771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.