Deepkumar Patel, DDS, MPH

Primary specialty

DentistTaxonomy code 122300000X

License

12014536A Issued in IN

Practice address

5124 Reformatory Rd
Pendleton, IN 46064-8767

Phone

(765) 778-8011

NPI assigned

Mar 15, 2023

Last updated

Feb 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1063113074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 MORNING VALLEY CT",
            "city": "MCCORDSVILLE",
            "state": "IN",
            "postal_code": "460550229",
            "telephone_number": "479-979-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 REFORMATORY RD",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460648767",
            "telephone_number": "765-778-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEEPKUMAR",
        "credential": "DDS, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-15",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12014536A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla E Newby, N.P.
• Scott Newkirk, MD
• Asa Marie Niedbalski, AGNP
• Lucky Nomugisha
• Whitney Owens
• Nirav Patel
• Pendleton Counseling Services
• Pendleton Emergency Ambulance Inc
• Pendleton Family Optometry PC
• Pendleton Lowcost Prescription

• Dentist in Pendleton, IN
• Providers in Pendleton, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.