Organization Active NPI

Khushbu N Patel DDS PLLC

  • Dental Clinic/Center
  • Monroe, NC
National Provider Identifier
1336964642
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KHUSHBU N PATEL DDS PLLC
Practice address
1900 Wellness Blvd Ste 104
Monroe, NC 28110-7763
Phone
(704) 296-5100
NPI assigned
Nov 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Dr. Khushbu Nisit Patel, DDSNPI 1982088126
Title
Dentist
Phone
(205) 356-3567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1900 Wellness Blvd Ste 104
Monroe, NC 28110-7763

Mailing address

16131 Alsace Dr
Charlotte, NC 28278-8344
Phone (205) 356-3567

National Provider Directory

National Provider Directory

Locations

1900 Wellness Blvd
Ste 104
Monroe, NC 28110
Phone (704) 296-5100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1336964642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16131 ALSACE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282788344",
            "telephone_number": "205-356-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WELLNESS BLVD STE 104",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107763",
            "telephone_number": "704-296-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHUSHBU N PATEL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KHUSHBU",
        "authorized_official_middle_name": "NISIT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-356-3567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.