Active NPI
Meenakshi Patel, DMD
- Dentist
- Elko, NV
National Provider Identifier
1053401638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4646
- Practice address
- 674 N Cedar St Apt a
Elko, NV 89801-2991 - Phone
- (775) 777-3737
- Fax
- (775) 777-3738
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4646T | NV | |
| Dentist | 122300000X | 4646 | NV | Primary |
Addresses
Primary practice location
674 N Cedar St Apt a
Elko, NV 89801-2991
Mailing address
674 N Cedar St Apt a
Elko, NV 89801-2991
Phone (775) 777-3737
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053401638 | Medicaid | NV | |
| 4646 | Other | NV | NV DENTAL LICENSE |
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 |
|---|---|---|---|
| 4646T | NV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1053401638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "674 N CEDAR ST APT A",
"city": "ELKO",
"state": "NV",
"postal_code": "898012991",
"telephone_number": "775-777-3737",
"fax_number": "775-777-3738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "674 N CEDAR ST APT A",
"city": "ELKO",
"state": "NV",
"postal_code": "898012991",
"telephone_number": "775-777-3737",
"fax_number": "775-777-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MEENAKSHI",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "4646T",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "4646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053401638",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV DENTAL LICENSE",
"identifier": "4646",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.