Individual provider Active NPI

Anna Patras, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sparta, NJ
National Provider Identifier
1164463709
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DI 02246400 Issued in NJ
Practice address
21 Mohawk Ave
Sparta, NJ 07871-1808
Phone
(973) 729-5900
Fax
(973) 729-4551
NPI assigned
Jun 8, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DI 02246400 NJ Primary

Addresses

Primary practice location

21 Mohawk Ave
Sparta, NJ 07871-1808

Mailing address

21 Mohawk Ave
Sparta, NJ 07871-1808
Phone (973) 729-5900

Other names 1

  • Anna Patras Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160328000038 NJ Order and Referring Only - DentistPractitioner - Dentist 3779880380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI 02246400NJMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Dental Sleep Therapy LLC Orthodontics and Dentofacial Orthopedics Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164463709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MOHAWK AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711808",
            "telephone_number": "973-729-5900",
            "fax_number": "973-729-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MOHAWK AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711808",
            "telephone_number": "973-729-5900",
            "fax_number": "973-729-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRAS",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "DI 02246400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "PATRAS",
            "credential": "D.M.D., P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.