Nidhi A Patel, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D008500 Issued in AZ

Practice address

1775 E Florence Blvd Ste 104
Ste 104
Casa Grande, AZ 85122-4839

Phone

(520) 413-3578

NPI assigned

Jul 17, 2012

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

Other names 1

• Nidhi R Shah Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1093060899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 S QUIET WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852980647",
            "telephone_number": "480-628-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E FLORENCE BLVD STE 104",
            "address_2": "STE 104",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851224839",
            "telephone_number": "520-413-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIDHI",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIDHI",
            "last_name": "SHAH",
            "middle_name": "R",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Pasieka, M.S.
• Gerald Edward Pass, D.O.
• Kelsie Dawn Pate, FNP
• Biren M Patel, MD
• Dayaljibhai D. Patel, M.D.
• Hemali Paton, PHARM.D.
• Analiah Mahinalani Patrice, ND
• Justin Joseph Pattee, D.O.
• Charles Walter Patterson, D.D.S.
• Paul T Wilson OD PC

• Dentist in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.