Active NPI
Akash P Patel, DDS
- Dentist
- Bellingham, WA
National Provider Identifier
1144588153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019029344
- Practice address
- 1100 Ellis St Ste 100
Bellingham, WA 98225-5238 - Phone
- (360) 734-6190
- NPI assigned
- Apr 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 019029344 | IL | Primary |
Addresses
Primary practice location
1100 Ellis St Ste 100
Bellingham, WA 98225-5238
Mailing address
1100 Ellis St Ste 100
Bellingham, WA 98225-5238
Phone (604) 961-9291
Other practice location 1
3074 Whitehaven Cir
Galesburg, IL 61401-8688
Phone (309) 299-9291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181226000875 | IL | Order and Referring Only - Dentist | 5991054942 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019029344 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1144588153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 ELLIS ST STE 100",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982255238",
"telephone_number": "604-961-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 ELLIS ST STE 100",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982255238",
"telephone_number": "360-734-6190"
}
],
"practiceLocations": [
{
"address_1": "3074 Whitehaven Cir",
"address_purpose": "LOCATION",
"city": "Galesburg",
"state": "IL",
"postal_code": "614018688",
"country_code": "US",
"telephone_number": "309-299-9291",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "AKASH",
"middle_name": "P",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-27",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.