Individual provider Active NPI

Minesh A Patel, DDS

  • General Practice Dentistry
  • Newark, OH
National Provider Identifier
1114086352
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21346 Issued in OH
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

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2337000MedicaidOH

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

LicenseStateTypeSpecialty
21346OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.