Individual provider Active NPI

Parth Desai

  • General Practice Dentistry
  • Carlinville, IL
National Provider Identifier
1952916355
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36690 Issued in TX
Practice address
1115 Morgan St
Carlinville, IL 62626-1438
Phone
(217) 854-3223
NPI assigned
Sep 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36690 TX Primary

Addresses

Primary practice location

1115 Morgan St
Carlinville, IL 62626-1438

Mailing address

205 Oakland Ave
Carlinville, IL 62626-1921
Phone (217) 854-3223

Other practice location 1

3200 Andrews Hwy Ste 400
Midland, TX 79701-3950
Phone (888) 988-4066

Other practice location 2

1401 E 8th St
Odessa, TX 79761-4802
Phone (888) 988-4066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210921001610 IL Practitioner - Dentist 6204233067 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36690TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Macoupin County Public Health Department CurrentSince Sep 9, 2021 Accepting new patients
Familia Dental Midland PLLC General Practice CurrentSince Jun 27, 2021 Accepting new patients
Macoupin County Public Health Department CurrentSince Sep 9, 2021 Accepting new patients
Macoupin County Public Health Department Current Accepting new patients
Familia Dental Odessa PLLC General Practice CurrentSince Jun 27, 2021 Accepting new patients

Locations

205 Oakland Ave
Carlinville, IL 62626
Phone (217) 839-7820

1115 Morgan St
Carlinville, IL 62626
Phone (217) 854-3223

805 N Broad St
Carlinville, IL 62626
Phone (217) 854-3223

109 E Maple St
Gillespie, IL 62033
Phone (217) 839-1526

805 Saint Francis Way
Litchfield, IL 62056
Phone (217) 839-4141

2050 E Algonquin Rd
Ste 610
Schaumburg, IL 60173
Phone (847) 701-1457

3200 Andrews Hwy
Ste 400
Midland, TX 79701
Phone (432) 218-7926

1401 E 8th St
Odessa, TX 79761
Phone (432) 332-8550

Interoperability endpoints

  • Direct secure messaging: parth.desai.p30@direct.fhn-fqhc.nextgenshare.com

Organizations & group practices 5

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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1952916355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OAKLAND AVE",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261921",
            "telephone_number": "217-854-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MORGAN ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261438",
            "telephone_number": "217-854-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Andrews Hwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797013950",
            "country_code": "US",
            "telephone_number": "888-988-4066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 E 8th St",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797614802",
            "country_code": "US",
            "telephone_number": "888-988-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "PARTH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlinville, IL

Sources for this page

Verify at the official NPI Registry.