Daniel James Patti, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2095-84 Issued in MS

Practice address

439 N Jackson St Ste E
Brookhaven, MS 39601-2912

Phone

(601) 833-0777

Fax

(601) 833-6606

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr Daniel J Patti D.M.D., PA

  • Dentist
  • Brookhaven, MS
  • NPI 1205138708

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1275629164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NOBLE DR",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013623",
            "telephone_number": "601-833-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 N JACKSON ST STE E",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012912",
            "telephone_number": "601-833-0777",
            "fax_number": "601-833-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTI",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2095-84",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07831757",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "839931",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Occhipinti, MS, CCC-SLP
• Ole Brook Kids, P.C.
• Ole Brook Optical, Inc
• Passionate Care Home Health,LLC
• Shannon P Patterson, DMD
• Ashlie L Payne, NP
• Craig Pecue-Drysdale, NREMT-P
• Laura Ann Phillips, M.S. -SLP
• Haley Posey, PHARMD
• Precision Healthcare Staffing LLC

• General Practice Dentistry in Brookhaven, MS
• Providers in Brookhaven, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.

Verify at the official NPI Registry.