Individual provider Active NPI

Hasmi Patel

  • General Practice Dentistry
  • Indian Trail, NC
National Provider Identifier
1265816797
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10191 Issued in NC
Practice address
4514 Old Monroe Rd Ste E
Indian Trail, NC 28079-5308
Phone
(704) 839-2434
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS040550 PA
General Practice Dentistry 1223G0001X 10191 NC Primary

Addresses

Primary practice location

4514 Old Monroe Rd Ste E
Indian Trail, NC 28079-5308

Mailing address

4514 Old Monroe Rd Ste E
Indian Trail, NC 28079-5308
Phone (704) 839-2434

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

State licenses

LicenseStateTypeSpecialty
10191NCMDGeneral Practice Dentistry
DS040550PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hasmi Ramesh Patel, DMD, PLLC General Practice CurrentSince Mar 12, 2023 Accepting new patients
Brian L Maynor D.D.S., PLLC General Practice Past Accepting new patients

Locations

4514 Old Monroe Rd
#E
Indian Trail, NC 28079
Phone (516) 590-4475

Organizations & group practices 2

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": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265816797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 OLD MONROE RD STE E",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795308",
            "telephone_number": "704-839-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 OLD MONROE RD STE E",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795308",
            "telephone_number": "704-839-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HASMI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040550",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.