Sharda Ketan Patel

Primary specialty

DentistTaxonomy code 122300000X

License

63503 Issued in CA

Practice address

3036 Blackberry Ave
San Ramon, CA 94582-5413

Phone

(714) 924-4338

NPI assigned

Dec 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Sharda Patel, DMD Inc

  • General Practice Dentistry
  • Pleasanton, CA
  • NPI 1114417151
  NPD (past) Authorized official

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1285065425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 BLACKBERRY AVE",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825413",
            "telephone_number": "714-924-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 BLACKBERRY AVE",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825413",
            "telephone_number": "714-924-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHARDA",
        "middle_name": "KETAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nilofar Parvin, DDS
• Shahadha Pasha
• Kenneth Joseph Passeri, D.P.M.
• Hiya B Patel
• Karissa Patel
• Viral Patel, AMFT
• Minal Gorakhnath Patil, DDS
• Sanjay R Patil
• Anna Patino
• Jesus Isaac Patino Jr., DDS, MS

• Dentist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.