Radha Patel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10192 Issued in SC

Practice address

1015 Creekside Medical Dr
York, SC 29745-8624

Phone

(803) 684-9220

NPI assigned

May 31, 2022

Last updated

Jul 6, 2022By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gir Guy LLC

  dba White Rose Dentistry

  • General Practice Dentistry
  • York, SC
  • NPI 1528843364
  NPD Authorized official

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1225777113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 HERRONS FERRY RD UNIT 418",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297300188",
            "telephone_number": "912-755-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CREEKSIDE MEDICAL DR",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297458624",
            "telephone_number": "803-684-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RADHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oliver Eye Associates PA
• William C Oliver, OD
• Orchid Mental Health
• Dennis C Ostrander, MS, PT
• Anthony Alexander Pascarell, SPEECH/LANGUAGE THER
• William Clellan Perkins, RPH
• PH & F Inc (Creekside Pharmacy)
• PH and F Inc (Medicap Pharmacy)
• Venessa Amanda Phillips, FNP-BC, FNP-C
• Piedmont Physician Network LLC

• General Practice Dentistry in York, SC
• Providers in York, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.