Organization Active NPI

Kaveh N. Adel, D.D.S., P.C.

  • Durable Medical Equipment & Medical Supplies
  • Naperville, IL
National Provider Identifier
1922486521
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
019024954 Issued in IL
Legal business name
KAVEH N. ADEL, D.D.S., P.C.
Practice address
612 E Ogden Ave
Naperville, IL 60563-3237
Phone
(630) 369-8950
Fax
(630) 369-7342
NPI assigned
May 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kaveh Nasireddin Adel, D.D.S.NPI 1649342668
Title
President
Phone
(630) 369-8950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019024954 IL
Durable Medical Equipment & Medical Supplies 332B00000X 019024954 IL Primary

Addresses

Primary practice location

612 E Ogden Ave
Naperville, IL 60563-3237

Mailing address

612 E Ogden Ave
Naperville, IL 60563-3237
Phone (630) 369-8950

Other identifiers 2

IdentifierTypeStateIssuer
019-024954OtherILILLINOIS STATE DENTAL LICENSE
1649342668OtherINDIVIDUAL NPI

Other names 1

  • Naperville Family Dental care Doing business as

National Provider Directory

National Provider Directory

Locations

612 E Ogden Ave
Naperville, IL 60563
Phone (630) 369-8950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1922486521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E OGDEN AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633237",
            "telephone_number": "630-369-8950",
            "fax_number": "630-369-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E OGDEN AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633237",
            "telephone_number": "630-369-8950",
            "fax_number": "630-369-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVEH N. ADEL, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "ADEL",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_middle_name": "NASIREDDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-369-8950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019024954",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "019024954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE DENTAL LICENSE",
            "identifier": "019-024954",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1649342668",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Naperville Family Dental care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.