Individual provider Active NPI

Abhishek Patel, DMD

  • General Practice Dentistry
  • Quakertown, PA
National Provider Identifier
1093124638
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS040160 Issued in PA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DS040160PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.