Shridhar Patankar

Primary specialty

DentistTaxonomy code 122300000X

License

35522 Issued in TX

Practice address

11003 Resource Pkwy Ste 101
Houston, TX 77089-6142

Phone

(281) 484-1006

NPI assigned

Jul 6, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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.

• Dental Professionals of Virginia, P.C

  • General Practice Dentistry
  • Springfield, VA
  • NPI 1912251034
  NPD (past)

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1386096097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6671B BACKLICK RD STE 15-17",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502702",
            "telephone_number": "703-992-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 RESOURCE PKWY STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896142",
            "telephone_number": "281-484-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATANKAR",
        "first_name": "SHRIDHAR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415305",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pat'S Hospice, Inc.
• Sundei Abayon Patagoc, CRNA
• Nimrah Patail, DO
• Melissa Patak, LPC
• Gautam Ranjan Patankar, M.D.
• Gabriel Dario Patarroyo - Aponte, MD
• Maria M Patarroyo Aponte, M.D.
• Patch Testing Center of Excellence-Houston
• Alexandra Mary Patch, RN
• Pate Psychological Services PLLC

• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.