Individual provider Active NPI

Gauri Patil, DMD

  • Dentist
  • Dedham, MA
National Provider Identifier
1063019677
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1858849 Issued in MA
Practice address
380 High St
Dedham, MA 02026-2815
Phone
(781) 326-0235
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1858849 MA Primary

Addresses

Primary practice location

380 High St
Dedham, MA 02026-2815

Mailing address

380 High St
Dedham, MA 02026-2815
Phone (781) 326-0235

Other practice location 1

22 Deborah Dr
Walpole, MA 02081-2317
Phone (617) 678-9355

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
1858849MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gauri Patil DMD PC CurrentSince Jun 22, 2021 Accepting new patients
Rebekah Boral, DMD, PC Dentist PastSince Aug 1, 2021 Accepting new patients

Locations

380 High St
Dedham, MA 02026
Phone (781) 326-0235

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1063019677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HIGH ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262815",
            "telephone_number": "781-326-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HIGH ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262815",
            "telephone_number": "781-326-0235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Deborah Dr",
            "address_purpose": "LOCATION",
            "city": "Walpole",
            "state": "MA",
            "postal_code": "020812317",
            "country_code": "US",
            "telephone_number": "617-678-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATIL",
        "first_name": "GAURI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "1858849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.