Active NPI
Vrushti Praharsh Patel, DDS, BDS
- Dentist
- Niles, IL
National Provider Identifier
1922520469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 319.020622
- Practice address
- 5622 W Touhy Ave
Niles, IL 60714-4001 - Phone
- (847) 983-4202
- NPI assigned
- Jul 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 319.020622 | IL | Primary |
Addresses
Primary practice location
5622 W Touhy Ave
Niles, IL 60714-4001
Mailing address
1001 S State St Unit 3203
Chicago, IL 60605-2243
Phone (609) 907-9115
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 |
|---|---|---|---|
| 319.020622 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500076800000",
"number": "1922520469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S STATE ST UNIT 3203",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052243",
"telephone_number": "609-907-9115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5622 W TOUHY AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607144001",
"telephone_number": "847-983-4202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "VRUSHTI",
"middle_name": "PRAHARSH",
"name_prefix": "Dr.",
"credential": "DDS, BDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-15",
"last_updated": "2017-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "319.020622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.