Jeetendra Patel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5451 Issued in LA

Practice address

3340 Sterlington Rd
Monroe, LA 71203-2522

Phone

(318) 325-2922

NPI assigned

Sep 28, 2006

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 LA

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

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.

• Jeetendra Patel, DDS, a Professional Dental Corp.

  • Dentist
  • Monroe, LA
  • NPI 1376682005
  NPD (past) Authorized official
• Stephanie Harding, DDS, a Professional Dental Corporation

  • Dentist
  • Monroe, LA
  • NPI 1679164032
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1184716490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 TOULOUSE DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013661",
            "telephone_number": "318-348-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 STERLINGTON RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032522",
            "telephone_number": "318-325-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JEETENDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "5451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Pasceri
• Brian Pashkevich, ATC
• Passages Hospice North - Northeast, LLC. (Passages Hospice)
• Kristen Pate, PHARM. D.
• Dirgha Upendrabhai Patel, M.D.
• Mizba Basheer Patel, M.D.
• Parna Pathak, M.D
• Pathology Associates
• Pathology Associates Laboratory
• Patient's Choice Hospice and Palliative Care of Louisiana, LLC (Louisiana Hospice and Palliative Care)

• Dentist in Monroe, LA
• Providers in Monroe, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.