Prashant Patel

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10441 Issued in NC

Practice address

1424A Fern Creek Dr
Statesville, NC 28625

Phone

(704) 872-5765

Fax

(704) 871-1505

NPI assigned

Jun 23, 2016

Sex

Male

Sole proprietor

Yes

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

Enrolled in NC

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

Medicare enrollment (NPD)

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.

• DRS. Patel,Nabors & Associates

  dba hickory distinctive dentistry

  • Dental Clinic/Center
  • Hickory, NC
  • NPI 1710467048
  NPD Authorized official
• Prashant Rupapara & Associates PLLC

  dba gonsalves, wolff and patel DDS

  • General Practice Dentistry
  • Statesville, NC
  • NPI 1710418496
  NPD
• Gonsalves and Wolff, DDS II

  • Dentist
  • Concord, NC
  • NPI 1952606733
  NPD (past)

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1184075848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424A FERN CREEK DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259376",
            "telephone_number": "704-872-5765",
            "fax_number": "704-871-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424A FERN CREEK DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28625",
            "telephone_number": "704-872-5765",
            "fax_number": "704-871-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRASHANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viktoriia Passaro, FNP-BC
• Amy M. Patel, PA-C
• Darshan Babubhai Patel, M.D.
• Jeel Patel
• Kush Shashikant Patel, MD
• Priya Patel, DO
• Rahil Patel, FNP-C
• Shiv Shashikant Patel, MD
• Vishal Kirit Patel, M.D.
• Paths for Success, LLC

• General Practice Dentistry in Statesville, NC
• Providers in Statesville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.