Organization Active NPI

Hardik Patel DDS PA

  • Dentist
  • Merritt Island, FL
National Provider Identifier
1043104292
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HARDIK PATEL DDS PA
Practice address
1127 N Courtenay Pkwy # 5514
Merritt Island, FL 32953-5514
Phone
(321) 452-4988
NPI assigned
Jun 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Hardik PatelNPI 1043745219
Title
Owner
Phone
(229) 364-6350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

1127 N Courtenay Pkwy # 5514
Merritt Island, FL 32953-5514

Mailing address

1080 Newton Cir
Rockledge, FL 32955-4571
Phone (229) 364-6350

National Provider Directory

National Provider Directory

Locations

1127 N Courtenay Pkwy
#5514
Merritt Island, FL 32953
Phone (321) 452-4988

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1043104292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 NEWTON CIR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554571",
            "telephone_number": "229-364-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 N COURTENAY PKWY # 5514",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329535514",
            "telephone_number": "321-452-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDIK PATEL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARDIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-364-6350"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.