Individual provider Active NPI

Vishal Patel, DMD

  • General Practice Dentistry
  • Hickory, NC
National Provider Identifier
1255972865
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11642 Issued in NC
Practice address
2535 US Highway 70 SE Ste 112
Hickory, NC 28602-6005
Phone
(828) 827-4572
NPI assigned
Oct 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11642 NC Primary

Addresses

Primary practice location

2535 US Highway 70 SE Ste 112
Hickory, NC 28602-6005

Mailing address

12729 Rusty Blackbird Way
Charlotte, NC 28278-6892
Phone (419) 513-9187

Other practice location 1

7780 S Raeford Rd
Fayetteville, NC 28304-6129
Phone (910) 223-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260511000754 NC Practitioner - Dentist 7012435209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Boston Univ Goldman School of Dental Medicine, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1030 Freeland Dr
Suite 104
Salisbury, NC 28144-5175

11350 Random Hills Rd
C 175
Fairfax, VA 22030-7433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11642NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vishal Patel DMD PLLC CurrentSince Mar 11, 2025 Accepting new patients
Dr. Adamson & Assoc., Raeford Road, P.a. Dentist PastSince Oct 1, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740268800000",
    "number": "1255972865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12729 RUSTY BLACKBIRD WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786892",
            "telephone_number": "419-513-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 US HIGHWAY 70 SE STE 112",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286026005",
            "telephone_number": "828-827-4572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7780 S Raeford Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283046129",
            "country_code": "US",
            "telephone_number": "910-223-9090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VISHAL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-04",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.