Active NPI
Keyurkumar R Patel
- Dentist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN25145
- Practice address
- 12231 E Colonial Dr Ste 150
Orlando, FL 32826-4761 - Phone
- (678) 633-9944
- NPI assigned
- Mar 22, 2018
- Last updated
- Sep 2, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DRP1811 | FL | |
| Dentist | 122300000X | DN25145 | FL | Primary |
Addresses
Primary practice location
12231 E Colonial Dr Ste 150
Orlando, FL 32826-4761
Mailing address
12231 E Colonial Dr Ste 150
Orlando, FL 32826-4761
Phone (678) 633-9944
Other practice location 1
750 E 25th St
Hialeah, FL 33013-3817
Phone (305) 694-5400
Other practice location 2
5927 SE Babb Rd
Belleview, FL 34420-4105
Phone (352) 245-9184
Other practice location 3
620 Malabar Rd SE Ste 3
Palm Bay, FL 32907-3109
Phone (321) 722-2688
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 |
|---|---|---|---|
| DN25145 | FL | MD | Dentist |
| DRP1811 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CDPG, P.L. | Current | Accepting new patients | |
| K Patel DDS,PLLC | Past | Accepting new patients | |
| Faculty Associates, Inc | Past | Accepting new patients |
Locations
5927 SE Babb Rd
Belleview, FL 34420
Phone (352) 245-9184
Networks
- Freedom Health HMO Network
Organizations & group practices 8
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.
-
- General Practice Dentistry
- Clermont, FL
- NPI 1003762907
-
- Dental Clinic/Center
- Clermont, FL
- NPI 1972420651
-
- General Practice Dentistry
- Summerfield, FL
- NPI 1053267955
-
dba Elite dental of Summerfield
- Dental Clinic/Center
- Summerfield, FL
- NPI 1568108942
-
- Dentist
- Inverness, FL
- NPI 1700732021
-
- General Practice Dentistry
- Hialeah, FL
- NPI 1770537953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1053815043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12231 E COLONIAL DR STE 150",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328264761",
"telephone_number": "678-633-9944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12231 E COLONIAL DR STE 150",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328264761",
"telephone_number": "678-633-9944"
}
],
"practiceLocations": [
{
"address_1": "750 E 25th St",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330133817",
"country_code": "US",
"telephone_number": "305-694-5400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5927 SE Babb Rd",
"address_purpose": "LOCATION",
"city": "Belleview",
"state": "FL",
"postal_code": "344204105",
"country_code": "US",
"telephone_number": "352-245-9184",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 Malabar Rd SE Ste 3",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "329073109",
"country_code": "US",
"telephone_number": "321-722-2688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "KEYURKUMAR",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-22",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DRP1811",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN25145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.