Active NPI
Khyati Dhiren Shahpatel, D.M.D.
- Dentist
- Cumming, GA
National Provider Identifier
1326202979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014994
- Practice address
- 876 Buford Rd
Cumming, GA 30041-2716 - Phone
- (216) 280-8556
- NPI assigned
- Jul 14, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30-022745 | OH | |
| Dentist | 122300000X | DN014994 | GA | Primary |
Addresses
Primary practice location
876 Buford Rd
Cumming, GA 30041-2716
Mailing address
876 Buford Rd
Cumming, GA 30041-2716
Phone (216) 280-8556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326202979 | Other | GEORGIA |
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 |
|---|---|---|---|
| DN014994 | GA | MD | Dentist |
| 30-022745 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1326202979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "876 BUFORD RD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300412716",
"telephone_number": "216-280-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "876 BUFORD RD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300412716",
"telephone_number": "216-280-8556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHPATEL",
"first_name": "KHYATI",
"middle_name": "DHIREN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30-022745",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA",
"identifier": "1326202979",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.