Active NPI
Abhishek Patel, DMD
- General Practice Dentistry
- Quakertown, PA
National Provider Identifier
1093124638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS040160
- Practice address
- 127 S 5TH St Ste 310
Quakertown, PA 18951-1680 - Phone
- (215) 538-0211
- NPI assigned
- Aug 7, 2014
- Last updated
- Sep 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS040160 | PA | Primary |
Addresses
Primary practice location
127 S 5TH St Ste 310
Quakertown, PA 18951-1680
Mailing address
519 W Broad St
Quakertown, PA 18951-1215
Other practice location 1
942 Main St
Red Hill, PA 18076-1339
Phone (215) 679-8033
Other practice location 2
214 Tory Cir
Enola, PA 17025-2689
Phone (717) 395-8205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 30, 2021 through Jun 30, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040160 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Bonomo, DMD, LLC | Past | Accepting new patients | |
| Farris and Moll PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Red Hill, PA
- NPI 1417084336
-
- Public Health Dentistry
- Red Hill, PA
- NPI 1295073914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1093124638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 W BROAD ST",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "189511215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 S 5TH ST STE 310",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "189511680",
"telephone_number": "215-538-0211"
}
],
"practiceLocations": [
{
"address_1": "942 Main St",
"address_purpose": "LOCATION",
"city": "Red Hill",
"state": "PA",
"postal_code": "180761339",
"country_code": "US",
"telephone_number": "215-679-8033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "214 Tory Cir",
"address_purpose": "LOCATION",
"city": "Enola",
"state": "PA",
"postal_code": "170252689",
"country_code": "US",
"telephone_number": "717-395-8205",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "ABHISHEK",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-07",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS040160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quakertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.