Radha Dharmendra Patel

Primary specialty

DentistTaxonomy code 122300000X

License

DN22659 Issued in FL

Practice address

1200 E Robinson St
Orlando, FL 32801-2116

Phone

(407) 896-2881

NPI assigned

Jun 9, 2017

Last updated

May 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lumos Dental Studio

  • General Practice Dentistry
  • Celebration, FL
  • NPI 1013608884
  NPD Authorized official
• Thornton Park Dental Arts, PA

  • Durable Medical Equipment & Medical Supplies
  • Orlando, FL
  • NPI 1851710115
  NPD (past)

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1033648373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 FUTURE WAY",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012116",
            "telephone_number": "407-896-2881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Old Canoe Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347727706",
            "country_code": "US",
            "telephone_number": "321-805-4890",
            "fax_number": "407-593-2379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RADHA",
        "middle_name": "DHARMENDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payal Patel, MD
• Pooja Patel
• Pratick Patel, M.D.
• Priya Patel, MD
• Pujan Pranav Patel, MD
• Raeleigh Diane Patel
• Rahul Patel, M.D.
• Rakesh C Patel, M.D.
• Ramesh M Patel, MD
• Raveena Bhavdip Patel, MD

• Dentist in Orlando, FL
• Providers in Orlando, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.

Verify at the official NPI Registry.