Individual provider Active NPI

Javid Y Patel, DMD

  • Dentist
  • Milwaukee, WI
National Provider Identifier
1043881378
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1002622 Issued in WI
Practice address
710 W Historic Mitchell St
Milwaukee, WI 53204-3556
Phone
(414) 383-2426
NPI assigned
Jul 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1002622 WI Primary

Addresses

Primary practice location

710 W Historic Mitchell St
Milwaukee, WI 53204-3556

Mailing address

710 W Historic Mitchell St
Milwaukee, WI 53204-3556
Phone (414) 383-2426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251222001439 WI Practitioner - Dentist 5294256756

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Univ of Illinois at Chicago College of Dentistry, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17585 W N Ave
Suite 230
Brookfield, WI 53045-4365

3325 Mountain Dr
Brookfield, WI 53045-2516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1002622WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
J & U Family Dentistry LLC CurrentSince Sep 23, 2025 Accepting new patients
DNT Associates Inc. PastSince Jul 17, 2021 Accepting new patients

Locations

17585 W North Ave
Ste 230
Brookfield, WI 53045
Phone (262) 780-9996

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.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1043881378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W HISTORIC MITCHELL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043556",
            "telephone_number": "414-383-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W HISTORIC MITCHELL ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043556",
            "telephone_number": "414-383-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAVID",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.