Active NPI
Rita G. Patel-Miller, DDS
- Dentist
- Crown Point, IN
National Provider Identifier
1003045444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12011905A
- Practice address
- 102 E 107TH Ave
Crown Point, IN 46307 - Phone
- (219) 750-1150
- Fax
- (219) 476-3990
- NPI assigned
- Jul 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019027875 | IL | |
| Dentist | 122300000X | 12011905A | IN | Primary |
Addresses
Primary practice location
102 E 107TH Ave
Crown Point, IN 46307
Mailing address
102 E 107TH Ave
Crown Point, IN 46307
Phone (219) 750-1150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210218002267 | IN | Order and Referring Only - Dentist | 1557776846 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019027875 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miller Patel LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Crown Point, IN
- NPI 1538599220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1003045444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 E 107TH AVE",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "46307",
"telephone_number": "219-750-1150",
"fax_number": "219-476-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E 107TH AVE",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "46307",
"telephone_number": "219-750-1150",
"fax_number": "219-476-3990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL-MILLER",
"first_name": "RITA",
"middle_name": "G.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-07",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019027875",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12011905A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.