Pinky Promise Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PINKY PROMISE PEDIATRIC DENTISTRY

Practice address

1355 E Ogden Ave Ste 105
Naperville, IL 60563-1631

Phone

(630) 687-9292

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Neelon Chirag PatelNPI 1205114097

Title

Dentist

Phone

(630) 687-9292

Specialties & licenses 1

Addresses

Other names 1

• Pinky Promise Pediatric Dentistry Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neelon Chirag Patel, DDS, MS

  • Pediatric Dentistry
  • Naperville, IL
  • NPI 1205114097
  NPD Authorized official
• Emily Garvanovic

  • Pediatric Dentistry
  • Orland Park, IL
  • NPI 1720754401
  NPD (past)

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1972335859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 E OGDEN AVE STE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631631",
            "telephone_number": "630-687-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E OGDEN AVE STE 105",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631631",
            "telephone_number": "630-687-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINKY PROMISE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEELON",
        "authorized_official_middle_name": "CHIRAG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "630-687-9292"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinky Promise Pediatric Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edith Pignotti, RN, CDE
• Gokila Pillai, M.D.
• Danielle Pincente, LCPC
• Ashley Katherine Pinckney
• Michael Thomas Pink, DDS, MD
• Pins Family Chiropractic
• Bradley William Pins, D.C.
• Lisa A Pinto, PSYD
• Pioneer Diagnostics and Research Corp
• Pioneer Telemetry Corporation

• Dental Clinic/Center in Naperville, IL
• Providers in Naperville, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.