Active NPI
Prashant Patel, DDS
- Dentist
- Claremore, OK
National Provider Identifier
1396439303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7721
- Practice address
- 1502 W Blue Starr Dr
Claremore, OK 74017-3202 - Phone
- (918) 347-5553
- NPI assigned
- Jun 5, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7721 | OK | Primary |
Addresses
Primary practice location
1502 W Blue Starr Dr
Claremore, OK 74017-3202
Mailing address
302 N Park Dr
Broken Bow, OK 74728-2964
Phone (580) 236-9110
Other practice location 1
2319 N 9th St
Broken Arrow, OK 74012-2850
Phone (918) 771-7164
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1396439303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 N PARK DR",
"city": "BROKEN BOW",
"state": "OK",
"postal_code": "747282964",
"telephone_number": "580-236-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 W BLUE STARR DR",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740173202",
"telephone_number": "918-347-5553"
}
],
"practiceLocations": [
{
"address_1": "2319 N 9th St",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "740122850",
"country_code": "US",
"telephone_number": "918-771-7164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "PRASHANT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OK",
"license": "7721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.