Jasma Patel, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DEN03350 Issued in RI

Practice address

19 Broadway
Newport, RI 02840-2937

Phone

(401) 845-0564

NPI assigned

Jul 21, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Interoperability endpoints

• Direct secure messaging: jasma.pateldmd.p2@direct.ebcap.nextgenshare.com

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.

• East Bay Community Action Program

  • Dental Clinic/Center
  • Newport, RI
  • NPI 1861439705
  NPD (past)
• Familia Dental Mkemidtown LLC

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1982086955
  NPD (past)

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104279546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BULLOCKS POINT AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029155351",
            "telephone_number": "401-437-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BROADWAY",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402937",
            "telephone_number": "401-845-0564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5341 W Fond Du Lac Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532161365",
            "country_code": "US",
            "telephone_number": "888-988-4066",
            "fax_number": "847-496-4850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JASMA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN03350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katlyn M Palka
• Megan Carly Palombo
• Dianne D Pannes, DDS
• Alessandro Papa, M.D.
• Andrea Shannon Parker, M.D.
• Marc Eugene Patrick, PA
• Danielle Alicia Patton
• Katelyn Ruth Pearson
• Tripler Pell, MD, CCFP, FCFP, MSC
• Gita Subramanian Pensa, MD

• Dentist in Newport, RI
• Providers in Newport, RI by specialty
• Dentist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.