Individual provider Active NPI

Anilkumar C Patel, BDS

  • Dentist
  • Oviedo, FL
National Provider Identifier
1306222005
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN0011664 Issued in FL
Practice address
106 W Mitchell Hammock Rd
Suite-1008
Oviedo, FL 32765-4703
Phone
(407) 706-6464
Fax
(407) 706-6466
NPI assigned
Aug 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN0011664 FL Primary

Addresses

Primary practice location

106 W Mitchell Hammock Rd
Suite-1008
Oviedo, FL 32765-4703

Mailing address

106 W Mitchell Hammock Rd
Suite-1008
Oviedo, FL 32765-4703
Phone (407) 706-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160308002345 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8527364140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN0011664FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1306222005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W MITCHELL HAMMOCK RD",
            "address_2": "SUITE-1008",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654703",
            "telephone_number": "407-706-6464",
            "fax_number": "407-706-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W MITCHELL HAMMOCK RD",
            "address_2": "SUITE-1008",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654703",
            "telephone_number": "407-706-6464",
            "fax_number": "407-706-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANILKUMAR",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0011664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.