Organization Active NPI

Shree Siddhivinayak Dental LLC

  • Dental Clinic/Center
  • Powell, OH
National Provider Identifier
1053128546
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SHREE SIDDHIVINAYAK DENTAL LLC
Practice address
4290 Home Rd
Suite C, D
Powell, OH 43065
Phone
(614) 306-1721
NPI assigned
Dec 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Dr. Khyati Patel, DMDNPI 1770011876
Title
Owner
Phone
(614) 306-1721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4290 Home Rd
Suite C, D
Powell, OH 43065

Mailing address

4290 Home Rd
Suite C, D
Powell, OH 43065
Phone (614) 306-1721

Other names 1

  • Scioto Smile Studio Other name

National Provider Directory

National Provider Directory

Locations

4290 Home Rd
Ste C
Powell, OH 43065
Phone (614) 306-1721

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1053128546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 HOME RD",
            "address_2": "SUITE C, D",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "43065",
            "telephone_number": "614-306-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 HOME RD",
            "address_2": "SUITE C, D",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "43065",
            "telephone_number": "614-306-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREE SIDDHIVINAYAK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KHYATI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-306-1721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scioto Smile Studio",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.