Vasudev C Patel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020616L Issued in PA

Practice address

852 S 16TH St
Harrisburg, PA 17104-2611

Phone

(717) 232-2237

Fax

(717) 909-0640

NPI assigned

Jan 15, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Practice roles

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.

• Paxton Dental Care P.C.

  • General Practice Dentistry
  • Harrisburg, PA
  • NPI 1841577046
  NPD (past) Authorized official

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104977214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 S 16TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042611",
            "telephone_number": "717-232-2237",
            "fax_number": "717-909-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 S 16TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171042611",
            "telephone_number": "717-232-2237",
            "fax_number": "717-909-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VASUDEV",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020616L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005205390001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ridhi V Patel
• Sheetal Hasmukh Patel, O.D.
• Srushti Patel
• Sunita Alpesh Patel, DR.
• Tejas Patel
• Vishesh Patel
• Amanda S Paterno, PA-C
• Jashen Patheja, D.O.
• Pathology Associates of Central Pennsylvania PC
• Pathway Data Services, LLC

• General Practice Dentistry in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.