Individual provider Active NPI

Dhruvang Jagdishbhai Patel, MBBS, SA-C

  • Surgical Assistant
  • Charleston, SC
National Provider Identifier
1174036222
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Practice address
109 Bee St
Charleston, SC 29401-5703
Phone
(843) 789-6012
NPI assigned
Nov 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X
Research Study Abstracter/Coder 1744R1103X
Student in an Organized Health Care Education/Training Program 390200000X
Surgical Assistant 246ZC0007X Primary

Addresses

Primary practice location

109 Bee St
Charleston, SC 29401-5703

Mailing address

6880 Rivers Ave Unit 1321
North Charleston, SC 29406-4887
Phone (706) 718-4585

Other practice location 1

173 Ashley Ave
Charleston, SC 29425-5703
Phone (843) 792-1072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1510444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174036222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6880 RIVERS AVE UNIT 1321",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064887",
            "telephone_number": "706-718-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BEE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015703",
            "telephone_number": "843-789-6012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "173 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294255703",
            "country_code": "US",
            "telephone_number": "843-792-1072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHRUVANG",
        "middle_name": "JAGDISHBHAI",
        "name_prefix": "Mr.",
        "credential": "MBBS, SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744R1103X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Data Abstracter/Coder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.