Active NPI
Hardik Patel
- General Practice Dentistry
- Merritt Island, FL
National Provider Identifier
1043745219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN26008
- Practice address
- 125 E Merritt Island Causewaysuite 127
Merritt Island, FL 32952 - Phone
- (229) 364-6350
- NPI assigned
- Apr 26, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DRPM1991 | FL | |
| General Practice Dentistry | 1223G0001X | DRPM1991 | FL | |
| Dental Hygienist | 124Q00000X | DH24451 | FL | |
| General Practice Dentistry | 1223G0001X | DN26008 | FL | Primary |
Addresses
Primary practice location
125 E Merritt Island Causewaysuite 127
Merritt Island, FL 32952
Mailing address
125 E Merritt Island Causewaysuite 127
Merritt Island, FL 32952
Phone (229) 364-6350
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 |
|---|---|---|---|
| DRPM1991 | FL | MD | Dentist |
| DN26008 | FL | MD | General Practice Dentistry |
| DH24451 | FL | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Breeze 503 LLC | Current | Accepting new patients | |
| Hardik Patel DDS PA | Dentist | Current | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Dentist
- Merritt Island, FL
- NPI 1043104292
-
- Dental Clinic/Center
- Cocoa Beach, FL
- NPI 1245998582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1043745219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E MERRITT ISLAND CAUSEWAYSUITE 127",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "32952",
"telephone_number": "229-364-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E MERRITT ISLAND CAUSEWAYSUITE 127",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "32952",
"telephone_number": "229-364-6350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HARDIK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-26",
"last_updated": "2021-07-22",
"certification_date": "2021-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DRPM1991",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DRPM1991",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": "DH24451",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN26008",
"primary": true
}
],
"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 Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.