Rajesh R Patil, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DEN7680 Issued in CO

Practice address

615 Mitchell Way Ste 106
Erie, CO 80516-5438

Phone

(303) 772-7722

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1346463395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 PRAIRIE FIRE CIR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036414",
            "telephone_number": "720-438-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MITCHELL WAY STE 106",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805165438",
            "telephone_number": "303-772-7722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 E 17th Ave # C4",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805043077",
            "country_code": "US",
            "telephone_number": "303-772-7722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATIL",
        "first_name": "RAJESH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DEN7680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Pilar Pacheco Sims
• Carolyn Button Parker, LCSW
• Ronald Edward Parsons, LCSW
• Neal Patel, DMD
• Pathways Speech Therapy, LLC
• Lisa Pawlowski, PSY.D.
• Peak Crafters LLC
• Linda Peirce, IBCLC
• Perfect Teeth / Erie P.C
• Stacy Peterson

• Orthodontics and Dentofacial Orthopedics Dentistry in Erie, CO
• Providers in Erie, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.