Active NPI
Kaveh N. Adel, D.D.S., P.C.
- Durable Medical Equipment & Medical Supplies
- Naperville, IL
National Provider Identifier
1922486521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 019024954
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019-024954 | Other | IL | ILLINOIS STATE DENTAL LICENSE |
| 1649342668 | Other | INDIVIDUAL NPI |
Other names 1
- Naperville Family Dental care
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Naperville, IL
- NPI 1649342668
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.