Individual provider Active NPI

Pranali Patel, DDS,MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hackettstown, NJ
National Provider Identifier
1154833770
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2882600 Issued in NJ
Practice address
486 Schooleys Mountain Rd Ste 2a
Hackettstown, NJ 07840-4000
Phone
(908) 852-9899
Fax
(908) 852-2008
NPI assigned
Nov 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS043856 PA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2882600 NJ Primary

Addresses

Primary practice location

486 Schooleys Mountain Rd Ste 2a
Hackettstown, NJ 07840-4000

Mailing address

486 Schooleys Mountain Rd Ste 2a
Hackettstown, NJ 07840-4000
Phone (908) 852-9899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725000895 IN Order and Referring Only - DentistPractitioner - Dentist 6204183072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2882600NJMDOrthodontics and Dentofacial Orthopedic Dentist
DS043856PAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Smiles Orthodontics Orthodontics and Dentofacial Orthopedics CurrentSince Jun 5, 2022 Accepting new patients

Locations

486 Schooleys Mountain Rd
Ste 2A
Hackettstown, NJ 07840
Phone (908) 852-7002

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": "1509840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1154833770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 SCHOOLEYS MOUNTAIN RD STE 2A",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404000",
            "telephone_number": "908-852-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 SCHOOLEYS MOUNTAIN RD STE 2A",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404000",
            "telephone_number": "908-852-9899",
            "fax_number": "908-852-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRANALI",
        "credential": "DDS,MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-05",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS043856",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "2882600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

Verify at the official NPI Registry.