NPIMap

Organization Active NPI

Patel & Associates 1 PLLC

  • General Practice Dentistry
  • Graham, NC
National Provider Identifier
1134836596
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PATEL & ASSOCIATES 1 PLLC
Practice address
150 W Crescent Square Dr
Graham, NC 27253-4014
Phone
(336) 570-3882
Fax
(336) 570-3583
NPI assigned
Nov 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Dr. Jimiskumar S Patel, DMDNPI 1487131793
Title
Manager
Phone
(336) 570-3882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

150 W Crescent Square Dr
Graham, NC 27253-4014

Mailing address

150 W Crescent Square Dr
Graham, NC 27253-4014
Phone (336) 570-3882

Other names 1

  • Patel Dental & Implants Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address officeadmin@pateldentalandimplants.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250506002491 NC DME Supplier - Oral Surgery - Dentist 8729505409 Practice locations: Graham, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1134836596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W CRESCENT SQUARE DR",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272534014",
            "telephone_number": "336-570-3882",
            "fax_number": "336-570-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W CRESCENT SQUARE DR",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272534014",
            "telephone_number": "336-570-3882",
            "fax_number": "336-570-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL & ASSOCIATES 1 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIMISKUMAR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-570-3882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "officeadmin@pateldentalandimplants.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "150 W Crescent Square Dr",
            "city": "Graham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272534014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Patel Dental & Implants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patel Dental & Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Graham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.