Individual provider Active NPI

Himali Patel, DMD

  • Dentist
  • Oro Valley, AZ
National Provider Identifier
1295474526
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
011366 Issued in AZ
Practice address
10195 N Oracle Rd Ste 111
Oro Valley, AZ 85704-8751
Phone
(520) 219-7004
NPI assigned
Jun 3, 2022
Last updated
Jun 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 011366 AZ Primary

Addresses

Primary practice location

10195 N Oracle Rd Ste 111
Oro Valley, AZ 85704-8751

Mailing address

10195 N Oracle Rd Ste 111
Oro Valley, AZ 85704-8751
Phone (804) 869-8634

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson & Chang Dentistry, PLLC Dentist CurrentSince Apr 9, 2023 Accepting new patients
Sleep Well Az PLLC PastSince Jun 5, 2022 Accepting new patients

Locations

10195 N Oracle Rd
Ste 111
Tucson, AZ 85704
Phone (520) 219-7004

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1295474526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10195 N ORACLE RD STE 111",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857048751",
            "telephone_number": "804-869-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10195 N ORACLE RD STE 111",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857048751",
            "telephone_number": "520-219-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HIMALI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "011366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.