Niraja G Patel

Primary specialty

DentistTaxonomy code 122300000X

License

DN1855993 Issued in MA

Practice address

127 Harvard Ave
Allston, MA 02134-2702

Phone

(617) 789-4200

Fax

(617) 789-4202

NPI assigned

Jun 22, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Allston Family Dental

  • General Practice Dentistry
  • Allston, MA
  • NPI 1639356033
  NPD (past)
• Springfield Family Dental PC

  • Dental Clinic/Center
  • Allston, MA
  • NPI 1700500840
  NPD (past)

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1326301425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 HARVARD AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342702",
            "telephone_number": "617-789-4200",
            "fax_number": "617-789-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HARVARD AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342702",
            "telephone_number": "617-789-4200",
            "fax_number": "617-789-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRAJA",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Pangburn
• Lucia Michelle Pantuosco
• Sehyun Park
• Tamie Parker Song, MSW
• Linda Le Parker
• Ravi Patel, D.M.D.
• Rutvij Rameshbhai Patel, RPH
• Lucy Belle Paterson
• Daniel Kenneth Patrikis
• Paul R Clark

• Dentist in Allston, MA
• Providers in Allston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.