Active NPI
Khyati Patel, DDS
- Dentist
- Pittsfield, MA
National Provider Identifier
1316668122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DL15115
- Practice address
- 788 South St
Pittsfield, MA 01201-8237 - Phone
- (413) 445-6680
- NPI assigned
- Sep 9, 2022
- 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 | DL15115 | MA | Primary |
Addresses
Primary practice location
788 South St
Pittsfield, MA 01201-8237
Mailing address
788 South St
Pittsfield, MA 01201-8237
Phone (413) 445-6680
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Pittsfield@hillcrestdental.org | Hillcrest Dental Care, Inc |
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 |
|---|---|---|---|
| DL15115 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1316668122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "788 SOUTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012018237",
"telephone_number": "413-445-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "788 SOUTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012018237",
"telephone_number": "413-445-6680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KHYATI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-09",
"last_updated": "2022-09-09",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL15115",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Pittsfield@hillcrestdental.org",
"affiliation": "Y",
"affiliationName": "Hillcrest Dental Care, Inc",
"address_1": "788 South St",
"city": "Pittsfield",
"state": "MA",
"country_code": "US",
"postal_code": "012018237",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.