Individual provider Active NPI

Artiben Kanaiyalal Patel, DMD

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1093564882
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.027533 Issued in OH
Practice address
8284 Beechmont Ave
Cincinnati, OH 45255-3153
Phone
(513) 231-1012
NPI assigned
May 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11282 KY
General Practice Dentistry 1223G0001X 30.027533 OH
Dentist 122300000X 30.027533 OH Primary

Addresses

Primary practice location

8284 Beechmont Ave
Cincinnati, OH 45255-3153

Mailing address

5280 Beechmont Ave Unit 4119
Cincinnati, OH 45230-2518
Phone (484) 903-6514

Other practice location 1

1401 Madison Ave
Covington, KY 41011-3313
Phone (859) 655-6152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11282KYMDDentist
30.027533OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
CD Ohio Derrick Kruger DDS, Inc. Dentist CurrentSince May 19, 2024 Accepting new patients
Rogers Family Dentistry Dentist PastSince May 19, 2024 Accepting new patients

Locations

8284 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 231-1012

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1093564882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 BEECHMONT AVE UNIT 4119",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302518",
            "telephone_number": "484-903-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8284 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553153",
            "telephone_number": "513-231-1012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410113313",
            "country_code": "US",
            "telephone_number": "859-655-6152",
            "fax_number": "859-655-6179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ARTIBEN",
        "middle_name": "KANAIYALAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "11282",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027533",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.