Active NPI
Gopi Ashokkumar Patel
- Dentist
- Florence, KY
National Provider Identifier
1063103406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10964
- Practice address
- 7668 Mall Rd Unit B
Florence, KY 41042-1593 - Phone
- (859) 568-1900
- NPI assigned
- May 17, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 10964 | KY | Primary |
Addresses
Primary practice location
7668 Mall Rd Unit B
Florence, KY 41042-1593
Mailing address
408 North First Street
Burgin, KY 40310
Phone (862) 371-6411
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 |
|---|---|---|---|
| 10964 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1063103406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 NORTH FIRST STREET",
"city": "BURGIN",
"state": "KY",
"postal_code": "40310",
"telephone_number": "862-371-6411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7668 MALL RD UNIT B",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410421593",
"telephone_number": "859-568-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "GOPI",
"middle_name": "ASHOKKUMAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "10964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.