NPIMap

Organization Active NPI

Kish Patel, DDS, PA

  • Dentist
  • Concord, NC
National Provider Identifier
1174794747
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7313 Issued in NC
Legal business name
KISH PATEL, DDS, PA
Practice address
5303 Poplar Tent Rd
Suite 240
Concord, NC 28027-9720
Phone
(704) 795-1515
Fax
(704) 795-1516
NPI assigned
Mar 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Dr. Kishor B Patel, DDSNPI 1437256690
Title
President
Phone
(704) 795-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7313 NC Primary

Addresses

Primary practice location

5303 Poplar Tent Rd
Suite 240
Concord, NC 28027-9720

Mailing address

2757 Island Point Dr NW
Concord, NC 28027-2536
Phone (704) 262-3726

National Provider Directory

National Provider Directory

Locations

5303 Poplar Tent Rd
Ste 240
Concord, NC 28027
Phone (704) 795-1515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1174794747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 ISLAND POINT DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272536",
            "telephone_number": "704-262-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 POPLAR TENT RD",
            "address_2": "SUITE 240",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279720",
            "telephone_number": "704-795-1515",
            "fax_number": "704-795-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISH PATEL, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KISHOR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-795-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.