Active NPI
Sagar Bharatbhai Patel
- General Practice Dentistry
- Columbia, SC
National Provider Identifier
1043628860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DGD.8438 GD
- Practice address
- 6420 Garners Ferry Rd Ste X
Columbia, SC 29209-1632 - Phone
- (201) 888-4922
- NPI assigned
- Jul 24, 2014
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DGD.8438 GD | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.