Individual provider Active NPI

Devesh M Patel, DMD

  • Dentist
  • Clearwater, FL
National Provider Identifier
1306367420
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22803 Issued in FL
Practice address
29605 US Highway 19 N Ste 350
Clearwater, FL 33761-1539
Phone
(727) 786-6649
Fax
(727) 789-9545
NPI assigned
Jun 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN22803 FL Primary

Addresses

Primary practice location

29605 US Highway 19 N Ste 350
Clearwater, FL 33761-1539

Mailing address

29605 US Highway 19 N Ste 350
Clearwater, FL 33761-1539
Phone (727) 686-8085

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
I20170831002099 FL Order and Referring Only - DentistPractitioner - Dentist 3072886704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22803FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1306367420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29605 US HIGHWAY 19 N STE 350",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337611539",
            "telephone_number": "727-686-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29605 US HIGHWAY 19 N STE 350",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337611539",
            "telephone_number": "727-786-6649",
            "fax_number": "727-789-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DEVESH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2026-08-30",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.