Individual provider Active NPI

Pinal Rajan Patel, D.D.S

  • General Practice Dentistry
  • Plymouth, MI
National Provider Identifier
1275716151
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019382 Issued in MI
Practice address
190 Plymouth Rd
Plymouth, MI 48170
Phone
(734) 979-0979
Fax
(734) 979-0979
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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 2901019382 MI Primary

Addresses

Primary practice location

190 Plymouth Rd
Plymouth, MI 48170

Mailing address

190 Plymouth Rd
Plymouth, MI 48170-1447
Phone (734) 979-0979

Other practice location 1

3768 Packard St
suite B
Ann Arbor, MI 48108-2090
Phone (734) 975-0100

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
2901019382MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Dental Health, PLLC General Practice PastSince Dec 24, 2023 Accepting new patients
Jackson Dental Innovations PLLC PastSince Mar 3, 2024 Accepting new patients
Allen W. Seel DDS PC General Practice Past 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": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1275716151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 PLYMOUTH RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701447",
            "telephone_number": "734-979-0979",
            "fax_number": "734-979-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PLYMOUTH RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48170",
            "telephone_number": "734-979-0979",
            "fax_number": "734-979-0979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3768 Packard St",
            "address_2": "suite B",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481082090",
            "country_code": "US",
            "telephone_number": "734-975-0100",
            "fax_number": "734-975-2509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PINAL",
        "middle_name": "RAJAN",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.