Active NPI
Parth Patel
- General Practice Dentistry
- Summerfield, FL
National Provider Identifier
1255113353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN31837
- Practice address
- 17820 SE 109TH Ave Ste 111
Summerfield, FL 34491-8968 - Phone
- (352) 245-5400
- NPI assigned
- Oct 16, 2023
- 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 | DN31837 | FL | Primary |
Addresses
Primary practice location
17820 SE 109TH Ave Ste 111
Summerfield, FL 34491-8968
Mailing address
17820 SE 109TH Ave Ste 111
Summerfield, FL 34491-8968
Phone (215) 573-2588
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1255113353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17820 SE 109TH AVE STE 111",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344918968",
"telephone_number": "215-573-2588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17820 SE 109TH AVE STE 111",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344918968",
"telephone_number": "352-245-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PARTH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-16",
"last_updated": "2026-08-16",
"certification_date": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN31837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerfield, FL
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.