Individual provider Active NPI

Snehal Patel, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Vienna, VA
National Provider Identifier
1326261058
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401411948 Issued in VA
Practice address
604 Beulah Rd NE
Vienna, VA 22180-3511
Phone
(347) 886-2844
Fax
(703) 263-3148
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 14011 MD
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 1000620 DC
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X MD036657 DC
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X D66183 MD
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401411948 VA Primary

Addresses

Primary practice location

604 Beulah Rd NE
Vienna, VA 22180-3511

Mailing address

604 Beulah Rd NE
Vienna, VA 22180-3511
Phone (347) 886-2844

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1000620DCMDOral and Maxillofacial Surgery (Dentist)
MD036657DCMDOral & Maxillofacial Surgery (D.M.D.)
D66183MDMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Oral Surgery, PC Oral and Maxillofacial Surgery PastSince May 14, 2003 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1326261058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 BEULAH RD NE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221803511",
            "telephone_number": "347-886-2844",
            "fax_number": "703-263-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 BEULAH RD NE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221803511",
            "telephone_number": "347-886-2844",
            "fax_number": "703-263-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SNEHAL",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "14011",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "1000620",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "DC",
            "license": "MD036657",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MD",
            "license": "D66183",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401411948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.