Patel, Kostelic & Associates, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PATEL, KOSTELIC & ASSOCIATES, PLLC

Practice address

901 N Winstead Ave Ste 120
Rocky Mount, NC 27804-8712

Phone

(704) 796-7397

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Rajiv Patel, DMD

Title

Owner/Manager

Phone

(704) 796-7397

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1104496470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 MOSS GROVE XING",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036422",
            "telephone_number": "336-577-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N WINSTEAD AVE STE 120",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048712",
            "telephone_number": "704-796-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL, KOSTELIC & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "704-796-7397",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Mark Pate, M.D.
• Divya Jatinkumar Patel, M.D.
• Jigneshkumar Tribhovandas Patel
• Jinesh S. Patel, D.M.D.
• Khushbu Patel
• Madhvi Patel, MD
• Nepolian P. Patel, PHARMD
• Sheetal Patel, D.O.
• Path Forward Behavioral Health & Recovery LLC
• Patience Home Health Care Inc.

• General Practice Dentistry in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.