Dr. Sivan Patel D.M.D. P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

019028147 Issued in IL

Legal business name

DR. SIVAN PATEL D.M.D. P.C.

Practice address

1533 Ellinwood Ave
Des Plaines, IL 60016-4553

Phone

(847) 297-0808

NPI assigned

Jun 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sivan Patel, D.M.D.

Title

Dentist

Phone

(847) 532-8990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1992090443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 SHORT TER",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600185558",
            "telephone_number": "847-532-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 ELLINWOOD AVE",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164553",
            "telephone_number": "847-297-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SIVAN PATEL D.M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SIVAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-532-8990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.