Individual provider Active NPI

Sagar Bharatbhai Patel

  • General Practice Dentistry
  • Columbia, SC
National Provider Identifier
1043628860
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DGD.8438 GD Issued in SC
Practice address
6420 Garners Ferry Rd Ste X
Columbia, SC 29209-1632
Phone
(201) 888-4922
NPI assigned
Jul 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DGD.8438 GD SC Primary

Addresses

Primary practice location

6420 Garners Ferry Rd Ste X
Columbia, SC 29209-1632

Mailing address

140 Playground Rd
Blythewood, SC 29016-7658
Phone (201) 888-4922

Other practice location 1

1033 Roberts Branch Pkwy Ste 103
Columbia, SC 29203-9148
Phone (803) 339-8542

Other practice location 2

1305 Knox Abbott Dr
Cayce, SC 29033-3348
Phone (803) 233-6141

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

LicenseStateTypeSpecialty
DGD.8438 GDSCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Killian Dentistry, PC General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043628860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 PLAYGROUND RD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167658",
            "telephone_number": "201-888-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 GARNERS FERRY RD STE X",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091632",
            "telephone_number": "201-888-4922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1033 Roberts Branch Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292039148",
            "country_code": "US",
            "telephone_number": "803-339-8542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Knox Abbott Dr",
            "address_purpose": "LOCATION",
            "city": "Cayce",
            "state": "SC",
            "postal_code": "290333348",
            "country_code": "US",
            "telephone_number": "803-233-6141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SAGAR",
        "middle_name": "BHARATBHAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.8438 GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.