Active NPI
Jay Patel, DMD
- General Practice Dentistry
- Sacramento, CA
National Provider Identifier
1215462320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 111345
- Practice address
- 1954 Del Paso Rd Ste 142
Sacramento, CA 95834-7707 - Phone
- (916) 921-6051
- Fax
- (916) 921-6480
- NPI assigned
- Apr 26, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS041642 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 111345 | CA | Primary |
| General Practice Dentistry | 1223G0001X | DS041642 | PA |
Addresses
Primary practice location
1954 Del Paso Rd Ste 142
Sacramento, CA 95834-7707
Mailing address
1954 Del Paso Rd Ste 142
Sacramento, CA 95834-7707
Phone (916) 921-6051
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS041642 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seventy Six Dental PC | Dentist | Current | Accepting new patients |
| Chestnut Dental Studios PC | Current | Accepting new patients | |
| Tiffanie J.Sun, D.D.S.Professional Corp | Dentist | Past | Accepting new patients |
Locations
1919 Chestnut St
Lbby 101
Philadelphia, PA 19103
Phone (215) 561-5559
212 Brown St
Ste 100
Philadelphia, PA 19123
Phone (570) 561-6843
Organizations & group practices 3
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.
-
- Dentist
- Philadelphia, PA
- NPI 1851983936
-
- Dental Clinic/Center
- Philadelphia, PA
- NPI 1215741483
-
- Dentist
- Sacramento, CA
- NPI 1063521722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1215462320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1954 DEL PASO RD STE 142",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958347707",
"telephone_number": "916-921-6051",
"fax_number": "916-921-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1954 DEL PASO RD STE 142",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958347707",
"telephone_number": "916-921-6051",
"fax_number": "916-921-6480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JAY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-26",
"last_updated": "2026-08-16",
"certification_date": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041642",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "111345",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS041642",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.