Active NPI
Sneha Pravin Patel, D.D.S.
- Dentist
- Alexandria, VA
National Provider Identifier
1063966828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401415544
- Practice address
- 7696 Richmond Hwy Ste D
Alexandria, VA 22306-2843 - Phone
- (703) 214-1924
- NPI assigned
- Aug 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 32148 | TX | |
| Dentist | 122300000X | 0401415544 | VA | Primary |
Addresses
Primary practice location
7696 Richmond Hwy Ste D
Alexandria, VA 22306-2843
Mailing address
7696 Richmond Hwy Ste D
Alexandria, VA 22306-2843
Phone (703) 214-1924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171102002214 | VA | Order and Referring Only - Oral Surgery | 0840556106 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401415544 | VA | MD | Dentist |
| 32148 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Prince William Area Community Health Center Inc | Past | Accepting new patients | |
| Mount Vernon Modern Dentistry, PC | Dentist | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Woodbridge, VA
- NPI 1366591562
-
- Dentist
- Alexandria, VA
- NPI 1265916399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1063966828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7696 RICHMOND HWY STE D",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223062843",
"telephone_number": "703-214-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7696 RICHMOND HWY STE D",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223062843",
"telephone_number": "703-214-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SNEHA",
"middle_name": "PRAVIN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-10",
"last_updated": "2021-11-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "32148",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401415544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.