Active NPI
Kaushal Patel
- General Practice Dentistry
- Lynn, MA
National Provider Identifier
1245695493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1857101
- Practice address
- 319 Lynnway
#1
Lynn, MA 01901-1811 - Phone
- (781) 599-5437
- Fax
- (781) 599-5436
- NPI assigned
- Dec 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1857101 | MA | Primary |
Addresses
Primary practice location
319 Lynnway
#1
Lynn, MA 01901-1811
Mailing address
93 Northampton St
Apt 1a
Boston, MA 02118-1870
Phone (201) 238-3178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160827000036 | MA | Order and Referring Only - Dentist | 0840585055 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1245695493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 NORTHAMPTON ST",
"address_2": "APT 1A",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181870",
"telephone_number": "201-238-3178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 LYNNWAY",
"address_2": "#1",
"city": "LYNN",
"state": "MA",
"postal_code": "019011811",
"telephone_number": "781-599-5437",
"fax_number": "781-599-5436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KAUSHAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-15",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1857101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.