NPIMap

Organization Active NPI

Aurora Dentrix North Aurora

  • General Practice Dentistry
  • North Aurora, IL
National Provider Identifier
1952025652
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AURORA DENTRIX NORTH AURORA
Practice address
111 Oak St
North Aurora, IL 60542-1129
Phone
(630) 892-6515
Fax
(630) 892-4979
NPI assigned
Sep 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Dr. Purvi Vakil, DDSNPI 1144517731
Title
Partner
Phone
(951) 756-3767

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

111 Oak St
North Aurora, IL 60542-1129

Mailing address

111 Oak St
North Aurora, IL 60542-1129
Phone (630) 892-6515

Other identifiers 1

IdentifierTypeStateIssuer
1144517731MedicaidIL

National Provider Directory

National Provider Directory

Locations

111 Oak St
North Aurora, IL 60542
Phone (630) 892-3580

Practitioners & affiliated clinicians

Practitioners 2

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": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1952025652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OAK ST",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421129",
            "telephone_number": "630-892-6515",
            "fax_number": "630-892-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OAK ST",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605421129",
            "telephone_number": "630-892-6515",
            "fax_number": "630-892-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA DENTRIX NORTH AURORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "VAKIL",
        "authorized_official_first_name": "PURVI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "951-756-3767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144517731",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.