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
- 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Columbia, SC
- NPI 1275051054
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.