Individual provider Active NPI

Tarik Pravinkumar Patel

  • Prosthodontics
  • Romeoville, IL
National Provider Identifier
1932079589
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
021.003493 Issued in IL
Practice address
441 N Weber Rd
Romeoville, IL 60446-3972
Phone
(815) 372-1000
NPI assigned
Nov 10, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 021.003493 IL Primary

Addresses

Primary practice location

441 N Weber Rd
Romeoville, IL 60446-3972

Mailing address

441 N Weber Rd
Romeoville, IL 60446-3972

Other practice location 1

3103 111th St Ste 131
Naperville, IL 60564-5068
Phone (630) 904-5600

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

LicenseStateTypeSpecialty
021.003493ILMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Dental Group LLC PastSince Aug 4, 2024 Accepting new patients
Valley View Dental - Naperville P.C. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1932079589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N WEBER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604463972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N WEBER RD",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604463972",
            "telephone_number": "815-372-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3103 111th St Ste 131",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605645068",
            "country_code": "US",
            "telephone_number": "630-904-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TARIK",
        "middle_name": "PRAVINKUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "021.003493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Romeoville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.