Sean Everett Patrick, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7164 Issued in NC

Practice address

2522 Plantation Center Dr
Suite a
Matthews, NC 28105-5298

Phone

(704) 845-9399

NPI assigned

Jan 25, 2007

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Sean E. Patrick, DDS, PA

  • Dentist
  • Matthews, NC
  • NPI 1467619338
  NPD (past) Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1063568087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 PLANTATION CENTER DR",
            "address_2": "SUITE A",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055298",
            "telephone_number": "704-845-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 PLANTATION CENTER DR",
            "address_2": "SUITE A",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055298",
            "telephone_number": "704-845-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "SEAN",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjiv R Patel, R.PH.
• Shivani J Patel, PHARMD
• Sonal Dolatrai Patel, PMHNP
• Tejal Patel, MD
• Tejesh Bhupendra Patel, DDS
• Yasmeen Patterson, FNP-C
• Arianna Patton
• Natitia Paugh, LAC., LMBT
• Paul J. Alexander, D.D.S., P.a.
• Christopher Paul, DPT

• General Practice Dentistry in Matthews, NC
• Providers in Matthews, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.