Individual provider Active NPI

Ashish G Patel, MSD DDS

  • Dentist
  • Grosse Pointe Woods, MI
National Provider Identifier
1336417526
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901020563 Issued in MI
Practice address
20039 Mack Ave
Grosse Pointe Woods, MI 48236-2322
Phone
(248) 259-8303
NPI assigned
Dec 2, 2011
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901020563 MI Primary

Addresses

Primary practice location

20039 Mack Ave
Grosse Pointe Woods, MI 48236-2322

Mailing address

20039 Mack Ave
Grosse Pointe Woods, MI 48236-2322
Phone (248) 259-8303

Other practice location 1

21100 Allen Rd Ste 2
My Urgent Dentistry
Woodhaven, MI 48183-1694
Phone (734) 675-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20160211002662 MI Order and Referring Only - DentistPractitioner - Dentist 0547564544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ashish Patel MSD DDS PLLC CurrentSince Oct 24, 2021 Accepting new patients

Locations

20039 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (248) 259-8303

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1336417526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20039 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362322",
            "telephone_number": "248-259-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20039 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362322",
            "telephone_number": "248-259-8303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21100 Allen Rd Ste 2",
            "address_2": "MY URGENT DENTISTRY",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "MI",
            "postal_code": "481831694",
            "country_code": "US",
            "telephone_number": "734-675-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ASHISH",
        "middle_name": "G",
        "credential": "MSD DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-02",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.