Individual provider Active NPI

Kruti A Patel, DMD

  • General Practice Dentistry
  • Carmel, IN
National Provider Identifier
1124428982
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12013510A Issued in IN
Practice address
715 W Carmel Dr Ste 202
Carmel, IN 46032-5881
Phone
(317) 846-6148
NPI assigned
Aug 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS040178 PA
General Practice Dentistry 1223G0001X 12013510A IN Primary

Addresses

Primary practice location

715 W Carmel Dr Ste 202
Carmel, IN 46032-5881

Mailing address

715 W Carmel Dr Ste 202
Carmel, IN 46032-5881

Other practice location 1

426 Cottman St
Jenkintown, PA 19046-2823
Phone (215) 572-7566

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040178PAMDDentist
12013510AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Everly & Associates LLC PastSince Jan 15, 2023 Accepting new patients
Sleephealthypa LLC General Practice PastSince Feb 4, 2024 Accepting new patients

Organizations & group practices 2

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": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1124428982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W CARMEL DR STE 202",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W CARMEL DR STE 202",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325881",
            "telephone_number": "317-846-6148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 Cottman St",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190462823",
            "country_code": "US",
            "telephone_number": "215-572-7566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRUTI",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040178",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013510A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.