Active NPI
Kripa Kishor Patel, DDS
- Dentist
- Forked River, NJ
National Provider Identifier
1316615586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02860800
- Practice address
- 302A N Main St
Forked River, NJ 08731-2743 - Phone
- (609) 549-6925
- NPI assigned
- Sep 2, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02860800 | NJ | Primary |
Addresses
Primary practice location
302A N Main St
Forked River, NJ 08731-2743
Mailing address
12 Decoy LN
Freehold, NJ 07728-9530
Phone (732) 535-1295
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 |
|---|---|---|---|
| 22DI02860800 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1316615586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 DECOY LN",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077289530",
"telephone_number": "732-535-1295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302A N MAIN ST",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087312743",
"telephone_number": "609-549-6925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KRIPA",
"middle_name": "KISHOR",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02860800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forked River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.