Shuchi Patel

Primary specialty

DentistTaxonomy code 122300000X

License

D14965 Issued in MN

Practice address

14050 Pilot Knob Rd Ste 108
Apple Valley, MN 55124-6648

Phone

(952) 423-4414

NPI assigned

Apr 11, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Minnesota Dental Professionals, P.C.

  • General Practice Dentistry
  • Apple Valley, MN
  • NPI 1154926939
  NPD
• East Valleydental, PA

  • Dental Clinic/Center
  • Apple Valley, MN
  • NPI 1144490723
  NPD (past)

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1073209359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 PILOT KNOB RD STE 108",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 PILOT KNOB RD STE 108",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246648",
            "telephone_number": "952-423-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHUCHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Marie Palmer, PA
• Robin Marie Parker, PNP
• Shannon Jo Parkos, MD
• Fernando J Partida Ruessga, MD
• Jeffrey A Pastir, MD
• Timothy Leigh Patterson, D.O.
• Pavlik Mental Health
• PDG, P.a
• PDG, P.a.
• PDG, P.a.

• Dentist in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.