Active NPI
Sandeep V. Patel, DDS, PA
- Dental Clinic/Center
- Daytona Beach, FL
National Provider Identifier
1063792927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DN19247
- Legal business name
- SANDEEP V. PATEL, DDS, PA
- Practice address
- 201 W. Isb
Daytona Beach, FL 32114 - Phone
- (386) 258-7500
- Fax
- (386) 238-5388
- NPI assigned
- Aug 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandeep V Patel, D.D.S.
- Title
- Corp Officer
- Phone
- (305) 494-5002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DN19247 | FL | Primary |
Addresses
Primary practice location
201 W. Isb
Daytona Beach, FL 32114
Mailing address
201 W. Isb
Daytona Beach, FL 32114
Phone (386) 258-7500
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Daytona Beach, FL
- NPI 1275846040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602028800000",
"number": "1063792927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W. ISB",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "32114",
"telephone_number": "386-258-7500",
"fax_number": "386-238-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W. ISB",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "32114",
"telephone_number": "386-258-7500",
"fax_number": "386-238-5388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDEEP V. PATEL, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-24",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "SANDEEP",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "CORP OFFICER",
"authorized_official_telephone_number": "305-494-5002",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "FL",
"license": "DN19247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.