Individual provider Active NPI

Amrish Dasharath Bhai Patel

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1053606590
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414691 Issued in VA
Practice address
700 Independence Cir Ste 1a
Virginia Beach, VA 23455-6405
Phone
(757) 490-3111
NPI assigned
Jun 13, 2011
Last updated
May 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414691 VA Primary

Addresses

Primary practice location

700 Independence Cir Ste 1a
Virginia Beach, VA 23455-6405

Mailing address

700 Independence Cir Ste 1a
Virginia Beach, VA 23455-6405
Phone (973) 610-6026

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

LicenseStateTypeSpecialty
0401414691VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Dental Care PLC Dentist CurrentSince May 25, 2025 Accepting new patients
Kempsville Dental Current Accepting new patients

Locations

700 Independence Cir
Ste 1A
Virginia Beach, VA 23455
Phone (757) 490-3111

1209 Independence Blvd
Ste 110
Virginia Beach, VA 23455
Phone (757) 490-3111

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1053606590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 INDEPENDENCE CIR STE 1A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556405",
            "telephone_number": "973-610-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 INDEPENDENCE CIR STE 1A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556405",
            "telephone_number": "757-490-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMRISH",
        "middle_name": "DASHARATH BHAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.