Active NPI
Reema Vinay Patel, DDS
- Dentist
- Milwaukee, WI
National Provider Identifier
1033601695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1001825
- Practice address
- 3113 S 13TH St
Milwaukee, WI 53215-4609 - Phone
- (414) 808-2003
- NPI assigned
- May 30, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1001825 | WI | Primary |
Addresses
Primary practice location
3113 S 13TH St
Milwaukee, WI 53215-4609
Mailing address
1601 N Jackson St Apt 509
Milwaukee, WI 53202-2883
Phone (630) 398-0280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001825 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1033601695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 N JACKSON ST APT 509",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022883",
"telephone_number": "630-398-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3113 S 13TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154609",
"telephone_number": "414-808-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "REEMA",
"middle_name": "VINAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1001825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.