Hema Patel DDS, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

15169 Issued in MD

Legal business name

HEMA PATEL DDS, LLC

Practice address

19729 Executive Park Cir
Germantown, MD 20874-2642

Phone

(301) 515-0030

Fax

(301) 515-0031

NPI assigned

Jun 9, 2015

Organization subpart

No

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

Authorized official

Name

Hema K Patel, D.D.SNPI 1275608671

Title

Dentist/Owner

Phone

(301) 515-0030

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wisteria Dental Care Doing business as

Locations

Practitioners 2

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

• Hema K Patel, D.D.S.

  • Dentist
  • Germantown, MD
  • NPI 1275608671
  NPD (past) Authorized official
• Diana Raquel Graham, DMD

  • General Practice Dentistry
  • Germantown, MD
  • NPI 1265149769
  NPD (past)

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1235510819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19729 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742642",
            "telephone_number": "301-515-0030",
            "fax_number": "301-515-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19729 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742642",
            "telephone_number": "301-515-0030",
            "fax_number": "301-515-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMA PATEL DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HEMA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "301-515-0030",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "15169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078970400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisteria Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra JB Hein
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• Sarah Jane Helton, M.A. CF-SLP
• Ya'Maya Henderson
• Michelle Dawn Green Hendrix, DDS
• Paula Henriquez, PSY.D.
• Melisa Henry
• Rachel Maureen Henry, OTR/L

• Dentist in Germantown, MD
• Providers in Germantown, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.