Individual provider Active NPI

Arpit Kanubhai Patel

  • Prosthodontics
  • Newington, CT
National Provider Identifier
1336973486
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
019035505 Issued in IL
Practice address
1572 Willard Ave Apt F7
Newington, CT 06111-4562
Phone
(203) 747-4916
NPI assigned
Aug 30, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 019035505 IL Primary

Addresses

Primary practice location

1572 Willard Ave Apt F7
Newington, CT 06111-4562

Mailing address

1572 Willard Ave Apt F7
Newington, CT 06111-4562
Phone (203) 747-4916

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

LicenseStateTypeSpecialty
019035505ILMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1336973486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 WILLARD AVE APT F7",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114562",
            "telephone_number": "203-747-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 WILLARD AVE APT F7",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114562",
            "telephone_number": "203-747-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ARPIT",
        "middle_name": "KANUBHAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "019035505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.