Active NPI
Neilesh Shashikant Patel, D.D.S.
- General Practice Dentistry
- Los Altos, CA
National Provider Identifier
1285890368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 57254
- Practice address
- 595 Loyola
Los Altos, CA 94024 - Phone
- (702) 732-7616
- NPI assigned
- Jul 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 24145 | TX | |
| General Practice Dentistry | 1223G0001X | 5779 | NV | |
| General Practice Dentistry | 1223G0001X | 24145 | TX | |
| General Practice Dentistry | 1223G0001X | 57254 | CA | Primary |
Addresses
Primary practice location
595 Loyola
Los Altos, CA 94024
Mailing address
595 Loyola Drive
Los Altos, CA 94024
Phone (650) 468-3631
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24145 | TX | MD | Dentist |
| 57254 | CA | MD | General Practice Dentistry |
| 5779 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N S Patel Dental Corporation | Current | Accepting new patients | |
| Neilesh Patel, DDS, Inc. | Past | Accepting new patients |
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.
-
- Dental Clinic/Center
- San Pablo, CA
- NPI 1972999639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1285890368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 LOYOLA DRIVE",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "94024",
"telephone_number": "650-468-3631",
"fax_number": "650-887-2533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 LOYOLA",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "94024",
"telephone_number": "702-732-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NEILESH",
"middle_name": "SHASHIKANT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-29",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "24145",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "5779",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "24145",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "57254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.