Active NPI
Priyanka Patel
- Dentist
- Philadelphia, PA
National Provider Identifier
1053921932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS042873
- Practice address
- Philadelphia Dental Smiles, 9140 Academy Road
Philadelphia, PA 19114 - Phone
- (215) 335-3339
- NPI assigned
- Aug 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS042873 | PA | Primary |
Addresses
Primary practice location
Philadelphia Dental Smiles, 9140 Academy Road
Philadelphia, PA 19114
Mailing address
7 Jonathan Dr
Robbinsville, NJ 08691-2346
Phone (860) 597-5794
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 |
|---|---|---|---|
| DS042873 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1053921932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 JONATHAN DR",
"city": "ROBBINSVILLE",
"state": "NJ",
"postal_code": "086912346",
"telephone_number": "860-597-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PHILADELPHIA DENTAL SMILES, 9140 ACADEMY ROAD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19114",
"telephone_number": "215-335-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRIYANKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-05",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "PA",
"license": "DS042873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.