Active NPI
Minesh A Patel, DDS
- General Practice Dentistry
- Newark, OH
National Provider Identifier
1114086352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21346
- Practice address
- 74 S 30TH St
Newark, OH 43055-1907 - Phone
- (740) 522-4803
- Fax
- (740) 344-1530
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21346 | OH | Primary |
Addresses
Primary practice location
74 S 30TH St
Newark, OH 43055-1907
Mailing address
7650 Blue Fescue Dr
Westerville, OH 43082-9167
Phone (614) 783-7772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2337000 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21346 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minesh Patel DDS LLC | Current | Accepting new patients |
Locations
404 S 30th St
Newark, OH 43055
Phone (740) 522-4803
Organizations & group practices 1
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.
-
- Dentist
- Newark, OH
- NPI 1700330107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1114086352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7650 BLUE FESCUE DR",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430829167",
"telephone_number": "614-783-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 S 30TH ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551907",
"telephone_number": "740-522-4803",
"fax_number": "740-344-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MINESH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "21346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2337000",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.