Jignesh Patel, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN 19907 Issued in FL

Practice address

6144 Gazebo Park PL S Ste 210
Jacksonville, FL 32257

Phone

(904) 262-9466

Fax

(904) 268-8648

NPI assigned

Aug 3, 2012

Last updated

Jan 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avenues Dental LLC

  dba Dental Center of Jacksonville

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1225488232
  NPD (past) Authorized official
• Kind Care Dentistry LLC

  dba Kind Care Dentistry

  • General Practice Dentistry
  • Orange Park, FL
  • NPI 1427411636
  NPD (past)
• Lakewood Dentistry #2, PLLC

  • General Practice Dentistry
  • Orange Park, FL
  • NPI 1922742329
  NPD (past)

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1093061400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3068 BRETTUNGAR DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322465503",
            "telephone_number": "954-551-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 GAZEBO PARK PL S STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32257",
            "telephone_number": "904-262-9466",
            "fax_number": "904-268-8648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 Wells Rd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320732342",
            "country_code": "US",
            "telephone_number": "904-278-9011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JIGNESH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-03",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 19907",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19907",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "812750812",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jagat Rajnikant Patel, MD
• Janessa Patel, OD
• Jayshree Ashwin Patel, DDS
• Jeet Patel, M.D.
• Jeet Jignesh Patel, CAA
• Jinal Shealeshkumar Patel
• Jiten J Patel
• Kaushal Patel, DPT
• Kavin G Patel
• Kishan Mukesh Patel, MD

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.