Ravi Mahesh Patel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

11600 Issued in TN

Practice address

1119 Vann Dr
Jackson, TN 38305-6098

Phone

(731) 256-3011

NPI assigned

May 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Selmer Smiles

  • Dental Clinic/Center
  • Selmer, TN
  • NPI 1295437077
  NPD Authorized official

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1154904597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 N CHURCH AVE",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402128",
            "telephone_number": "937-573-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 VANN DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056098",
            "telephone_number": "731-256-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAVI",
        "middle_name": "MAHESH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandarp B Patel, M.D.
• Khamoshi H Patel, DO
• Minesh Y Patel, D.D.S.
• Neil Patel, D.M.D.
• Nirav Patel, M.D.
• Sanjay Patel, PHARM D.
• Vadankumar Manibhai Patel, MD
• Pathway Healthcare Tennessee LLC
• Pathways of Tennessee, Inc.
• Pathways of Tennessee, Inc.

• Dentist in Jackson, TN
• Providers in Jackson, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.