Nancy A Patel, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DS043276 Issued in PA

Practice address

1597 N Susquehanna TRL Ste 1
Selinsgrove, PA 17870-5500

Phone

(570) 884-5177

NPI assigned

Jul 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1124690904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 N SUSQUEHANNA TRL STE 1",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178705500",
            "telephone_number": "267-436-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 N SUSQUEHANNA TRL STE 1",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178705500",
            "telephone_number": "570-884-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NANCY",
        "middle_name": "A",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Selinsgrove",
            "affiliation": "N",
            "endpointDescription": "Selinsgrove",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Selinsgrove",
            "address_1": "1597 N Susquehanna Trl Ste 1",
            "city": "Selinsgrove",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178705500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charles Carl Pagana, MD
• Charles Michael Pagana II, MD
• James Dylan Pagana, MD
• Reeti Parikh, DMD
• Mayur A Patel, M.D.
• Paul L. Kieffer
• Gloria H. Pedrick, CRNP
• Penn Performance Care P.C.
• Penn Village Facility Operations, LLC
• Pennsylvania CVS Pharmacy LLC

• Dentist in Selinsgrove, PA
• Providers in Selinsgrove, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.